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0 | Humeral cortical thickness in female Bantu--its relationship to the incidence of femoral neck fracture | Management of Hip Fractures in the Elderly | Measurements of the humeral cortical thickness demonstrate that generalised osteoporosis in female Bantu commences in the fifth decade and gradually increases until, in the ninth decade, all subjects are osteoporotic. The combined cortical thickness (CCT) of the humerus in young adults is very similar to that found pre... |
1 | The clinical and radiographic course of early knee and hip osteoarthritis over 10 years in CHECK (Cohort Hip and Cohort Knee) | OAK 3 - Non-arthroplasty tx of OAK | Objective: To describe the radiographic and symptomatic course in subjects with hip or knee complaints suspected of early osteoarthritis (OA). Design: CHECK (Cohort Hip and Cohort Knee) is a multicenter, prospective observational cohort study of 1,002 subjects with first complaints in knee(s) and/or hip(s) (age 56 ± 5... |
0 | Interleukin-1beta affects the phospholipid biosynthesis of fibroblast-like synoviocytes from human osteoarthritic knee joints | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: Phospholipids (PLs), together with hyaluronan and lubricin, are involved in boundary lubrication within human articular joints. Levels of lubricants in synovial fluid (SF) have been found to be associated with the health status of the joint. However, the biosynthesis and release of PLs within human joints re... |
0 | Is Radiographic Osteoporotic Hip Morphology A Predictor For High Mortality Following Intertrochanteric Femur Fractures?: Osteoporotic Hip Morphology & Mortality | Hip Fx in the Elderly 2019 | INTRODUCTION: Factors related to mortality after intertrochanteric femur fractures (ITFF) have been investigated intensively in the literature except for radiographic osteoporotic hip morphology. The aim of this study is to investigate the relationship between mortality and radiographic osteoporotic hip morphology of p... |
1 | The effects of various physical non-operative modalities on the pain in osteoarthritis of the knee | OAK 3 - Non-arthroplasty tx of OAK | The purpose of this study was to evaluate the effect of various non-operative modalities of treatment (transcutaneous electrical nerve stimulation (TENS); neuromuscular electrical stimulation (NMES); insoles and bracing) on the pain of osteoarthritis (OA) of the knee. We conducted a systematic review according to the P... |
0 | Treatment of deep infection of the hip associated with massive bone loss | Hip Fx in the Elderly 2019 | We have carried out in 24 patients, a two-stage revision arthroplasty of the hip for infection with massive bone loss. We used a custom-made, antibiotic-loaded cement prosthesis as an interim spacer. Fifteen patients had acetabular deficiencies, eight had segmental femoral bone loss and one had a combined defect. There... |
0 | Transforming growth factor-beta1 gene polymorphisms and bone turnover, bone mineral density and fracture risk in southern Chinese women | Management of Hip Fractures in the Elderly | Genetic contributions play an important role in determining bone mineral density (BMD) and bone turnover. Transforming growth factor-beta (TGF-beta) is abundant in bone and has been implicated as an important regulator of both bone formation and resorption. Several polymorphisms of the TGF-beta1 gene have recently been... |
0 | Unstable intertrochanteric versus displaced femoral neck fractures treated with cementless bipolar hemiarthroplasty in elderly patients; a comparison of 80 matched patients | Hip Fx in the Elderly 2019 | BACKGROUND: While hemiarthroplasty (HA) is considered the treatment of choice for displaced femoral neck (FN) fractures in elderly patients, HA has been partly performed as an alternative treatment option for unstable intertrochanteric (IT) fractures. However, there is a paucity of data regarding the risk and availabil... |
1 | Soft tissue reconstruction of open tibial fractures | DoD SSI (Surgical Site Infections) | Thirty patients admitted with traumatic open fractures of the tibia were reviewed with particular attention to soft tissue management over a period of 18 months. The injuries were classified according to Gustilo et al (1976,1984). Seven patients had Type II fractures and 23 had Type III fractures (8 type III a, 14 type... |
0 | Comparison of peri- and intraarticular analgesia with femoral nerve block after total knee arthroplasty: a randomized clinical trial | AAHKS (4) Acetaminophen | BACKGROUND: Postoperative pain after total knee arthroplasty (TKA) can be difficult to manage and may delay recovery. Recent studies have suggested that periarticular infiltration with local anesthetics may improve outcome.
METHODS: 80 patients undergoing TKA under spinal anesthesia were randomized to receive continuou... |
0 | Somatic effects of AAS abuse: A 30-years follow-up study of male former power sports athletes | DoD PRF (Psychosocial RF) | Objectives The aim of the present study was to investigate the association between somatic health and former abuse of AAS in former elite male athletes 30 years after the end of their active sports career. Design Retrospective follow-up study. Methods NÂ =Â 996 former elite male athletes were sent a questionnaire conce... |
1 | Nerve blocks (subcostal, lateral cutaneous, femoral, triple, psoas) for hip fractures | Management of Hip Fractures in the Elderly | BACKGROUND: Various nerve blocks using local anaesthetic agents have been used in order to reduce pain after hip fracture. OBJECTIVES: To determine the effects of nerve blocks (inserted either pre-operatively, operatively or post-operatively) as part of the treatment for a hip fracture. SEARCH STRATEGY: We searched the... |
1 | Is fast reversal and early surgery (within 24 h) in patients on warfarin medication with trochanteric hip fractures safe? A case-control study | Hip Fx in the Elderly 2019 | BACKGROUND: Hip fracture patients in general are elderly and they often have comorbidities that may necessitate anticoagulation treatment, such as warfarin. It has been emphasized that these patients benefit from surgery without delay to avoid complications and reduce mortality. This creates a challenge for patients on... |
0 | Use of thromboelastometry in the assessment of coagulation before epidural insertion after massive transfusion | Surgical Management of Osteoarthritis of the Knee CPG | A British soldier presented to the UK Field Hospital, Afghanistan with bilateral traumatic lower limb amputations. Resuscitation and surgery followed accepted damage control principles. Blood component therapy was in keeping with UK military guidelines and included platelets and cryoprecipitate. The patient's trachea w... |
0 | Knee injuries in golf | AMP (Acute Meniscal Pathology) | Thirty-five golfing patients with knee pain were studied in a 2-year period. Most patients were able to return to active golfing with conservative treatment and, in some cases, surgical management. Patients with total knee replacement were able to return to golf with minimal modifications. |
0 | Correlates of gait speed in advanced knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: This study aims to evaluate correlates of gait speed, a measure of disability, in older adults with advanced knee osteoarthritis (OA) and chronic pain.
DESIGN/SETTING/SUBJECTS/METHODS: Baseline data were analyzed from a clinical trial of 190 participants aged >50 with advanced knee OA (according to clinical ... |
0 | Iatrogenic retractile quadriceps fibrosis within children in Benin: epidemiological, clinical, therapeutical aspects | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: In tropical countries, iatrogenic retractile quadriceps fibrosis (IRQF), the cause of walking handicap in children, is often the result of intraquadricipital injection of quinine salts. The aim of this review was to analyse the epidemiological, clinical, therapeutic aspects and outcome of IRQF in children a... |
0 | Correlation between serum cholesterol level and electrophysiologic findings in patients with carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose: Carpal tunnel syndrome (CTS) is most common peripheral nerve entrapment disease. Many previous studies reported various risk factors of CTS, such as obesity, DM, thyroid disease, ect. Method: Thirty-one patients with CTS was measured serum total cholesterol, triglyceride, LDL and HDL. Their electrophysiologic ... |
1 | Total hip arthroplasty in adult patients who had childhood infection of the hip | Developmental Dysplasia of the Hip CPG | BACKGROUND: Adult patients with a history of infection of the hip in childhood present a challenge as candidates for total hip arthroplasty because of abnormal bone development, soft-tissue contractures, the possibility of reinfection, and their relative youth. The purpose of this study was to analyze the mid-term resu... |
0 | Effect of Preoperative Deformity on Arthroscopic and Open Ankle Fusion Outcomes | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Coronal deformity is considered a relative contraindication for arthroscopic ankle fusion. This study assessed whether preoperative coronal ankle joint deformity influenced the outcome of arthroscopic ankle fusion.
METHODS: Ninety-seven patients had 62 arthroscopic and 35 open ankle fusions between 2005 a... |
0 | Ex Vivo and In Vivo Evaluation of Overexpressed VLA-4 in Multiple Myeloma Using LLP2A Imaging Agents | MSTS 2018 - Femur Mets and MM | UNLABELLED: Very-late-antigen-4 (VLA-4, alpha4beta1 integrin, CD49d/CD29) is a transmembrane adhesion receptor that plays an important role in cancer and immune responses. Enhanced VLA-4 expression has been observed in multiple myeloma (MM) cells and surrounding stroma. VLA-4 conformational activation has been associat... |
0 | Independent effects of sleep duration and body mass index on the risk of a work-related injury: Evidence from the US National Health Interview Survey (2004â??2010) | DoD PRF (Psychosocial RF) | Fatigue has been linked to adverse safety outcomes, and poor quality or decreased sleep has been associated with obesity (higher body mass index, BMI). Additionally, higher BMI is related to an increased risk for injury; however, it is unclear whether BMI modifies the effect of short sleep or has an independent effect ... |
0 | Combination of arthrolysis by lateral and medial approaches and hinged external fixation in the treatment of stiff elbow | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Various methods are available to treat the stiff elbow. However, there is no consensus on which one is most useful. This study involves the effects of combination of arthrolysis by lateral and medial approaches and hinged external fixation in the treatment of stiff elbow. PATIENTS: We treated 12 patients wi... |
0 | Denosumab for the treatment of bone disease in solid tumors and multiple myeloma | MSTS 2018 - Femur Mets and MM | Bone is a common site for malignant involvement, either as a site of metastasis, especially in breast or prostate cancer, or as a defining characteristic of the disease, as in multiple myeloma. Bone disease is a major source of morbidity, and half of patients with bone involvement develop skeletal-related events such a... |
0 | Prevention of venous thromboembolism after total knee replacement by high-dose aspirin or intermittent calf and thigh compression | AAHKS (8) Anesthetic Infiltration | A prospective study of patients undergoing total knee replacement was carried out by using a combination of 125I-fibrinogen scanning and phlebography, and showed a high incidence of venous thromboembolic disease (TE). Ventilation-perfusion lung scanning was performed to detect pulmonary emboli in most patients. High do... |
0 | Controversies in the Management of Distal Radius Fractures | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Controversies span the entire spectrum of management of distal radius fractures-fracture assessment, diagnosis, treatment, and evaluation of outcomes. The utility of multiple radiographic views described in the literature has not been validated. Likewise, the several classification systems that exist have yet to demons... |
0 | Assessment of the survival and the clinical results of Stanmore total knee replacements | Surgical Management of Osteoarthritis of the Knee CPG | We review 210 Stanmore knee replacements in 163 patients to assess the survival of the prostheses and the long-term results. The annual rate of failure reached a maximum of 4.6% in the fourth year after operation; thereafter it declined to reach zero by the eighth year. Between two and eight years after operation, 66.3... |
0 | A paradigm shift in flap selection protocols for zones of the lower extremity using perforator flaps | DoD SSI (Surgical Site Infections) | BACKGROUND: Significant lower limb wounds often require soft tissue coverage using vascularized flaps. Traditionally, local muscles have been used for the proximal lower extremity and free flaps for the distal leg and foot, but perforator flaps over the past decade have been shown to be a reliable alternative.
METHODS:... |
0 | (untitled) | AAHKS (2) Corticosteroids | Osteoarthritis is a disorder caused by damage to articular cartilage, most commonly in older adults.<sup>1</sup> Aging, changes in metabolism, genetic and hormonal factors, biomechanical changes, and inflammation are all associated with the onset and progression of osteoarthritis.<sup>2</sup> Osteoarthritis can cause s... |
0 | A prospective, randomized trial, comparing analgesic efficacy and postoperative functional recovery of either single shot sciatic nerve block or posterior capsule infiltration combined with femoral block for total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Background: Many methods of pain relief have been implemented in an attempt to provide safe and effective analgesia to patients following total knee arthroplasty (TKA). Overall, the literature has strongly supported the use femoral nerve block, the addition of sciatic nerve block has been more controversial. This study... |
0 | Panic disorder in the elderly may be associated with depression or other comorbid conditions and typically requires long-term treatment | Management of Hip Fractures in the Elderly | Recurrent and unexpected panic attacks (panic disorder) occur less frequently in older age. An initial attack in an elderly person is often associated with a depressive illness. Other psychiatric and physical illnesses and problems with drugs may also contribute to symptoms. Selective serotonin reuptake inhibitors (SSR... |
1 | A comparison of hemiarthroplasty and total shoulder arthroplasty in the treatment of primary glenohumeral osteoarthritis: results of a multicenter study | Glenohumeral Joint OA | Six hundred one total shoulder arthroplasties and eighty-nine hemiarthroplasties were performed for primary osteoarthritis of the shoulder. Patients were evaluated with a physical examination, Constant score, and radiographic evaluation. The minimum follow-up was 2 years. At follow-up, the Constant score averaged 64 po... |
0 | Common work-related musculoskeletal strains and injuries | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Muscles, tendons, joints and nerves are susceptible to injury when stressed or traumatised repetitively, or over an extended period of time. Regardless of the nature of the work, a large proportion of the working population's time is spent engaged in repetitive movements and maintaining postures for extended periods of... |
0 | Unicompartmental knee arthroplasty: Is it durable? | Surgical Management of Osteoarthritis of the Knee CPG | Aim: To analyse the long-term durability of unicompartmental knee arthroplasties using the Marmor/Mod 2 prosthetic. Methods: Survivorship analysis was used to retrospectively evaluate 113 medial unicompartmental knee arthroplasties performed between 1974 and 1989 in two New Plymouth hospitals. An outcome was determined... |
0 | [<sup>177</sup>Lu]pentixather: Comprehensive Preclinical Characterization of a First CXCR4-directed Endoradiotherapeutic Agent | MSTS 2018 - Femur Mets and MM | <b>Purpose:</b> Based on the clinical relevance of the chemokine receptor 4 (CXCR4) as a molecular target in cancer and on the success of [<sup>68</sup>Ga]pentixafor as an imaging probe for high-contrast visualization of CXCR4-expression, the spectrum of clinical CXCR4-targeting was expanded towards peptide receptor ra... |
0 | Soft-tissue injuries and muscle tears | DOD - Acute Comp Syndrome CPG | Soft-tissue injuries and muscle tears occur frequently in athletes. The mainstay of treatment in most cases is nonoperative management and aggressive rehabilitation. Most injuries result from direct trauma or contusion or indirect stretch injury. It is important to keep in mind the possibility of other potentially more... |
0 | Predictors of fractures among the aged: A population-based study with 12-year follow-up in a Finnish municipality | Management of Hip Fractures in the Elderly | Background and aims: The incidence of fractures is high in older populations. More information is needed about long-term predictors of fractures, for preventive measures. The aim of this study was to analyze gender-specific predictors of fractures among persons aged 65 years or older during a 12-year follow-up. Methods... |
0 | Phase angle as a predictor of functional outcomes in patients undergoing in-hospital rehabilitation after hip fracture surgery | Hip Fx in the Elderly 2019 | Objectives: To evaluate the association between the phase angle and functional outcomes in patients after in-hospital postoperative rehabilitation for fragility hip fracture. Methods: A prospective observational study was conducted in 68 patients over 65 years of age who had undergone a two-week postoperative rehabilit... |
0 | Longitudinal study of bone density and periodontal disease in men | Management of Hip Fractures in the Elderly | Bone loss is a feature of both periodontitis and osteoporosis, and periodontal destruction may be influenced by systemic bone loss. This study evaluated the association between periodontal disease and bone mineral density (BMD) in a cohort of 1347 (137 edentulous) older men followed for an average of 2.7 years. Partici... |
0 | Tumors and tumor-like lesions mimicking carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | INTRODUCTION: Tumors and tumor-like lesions in or around the median nerve are uncommon causes of carpal tunnel syndrome (CTS). The purpose of the present study is to highlight the diagnostic approach and point out the profile of patients with CTS and potential underlying pathology. MATERIALS AND METHODS: Twenty-eight p... |
0 | Expression level of proteoglycan, collagen and type II collagen in osteoarthritis rat model is promoted and degradation of cartilage is prevented by glucosamine methyl ester | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: In the current study, the effect of glucosamine methyl ester on cartilage degeneration in osteoarthritis rat model was investigated.
MATERIALS AND METHODS: Forty Sprague-Dawley rats were assigned into 5 groups of 8 animals each. Osteoarthritis was induced in 4 groups using medial parapatellar incision follow... |
1 | AlloDerm performance in the setting of prosthetic breast surgery, infection, and irradiation | Acellular Dermal Matrix | BACKGROUND: The performance of AlloDerm (LifeCell Corp., Branchburg, N.J.) in the setting of prosthetic breast reconstruction, infection, and radiation therapy has not been well documented. The purpose of this study was to review the author's experience with AlloDerm-assisted prosthetic breast surgery and determine the... |
1 | Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus malalignment: a randomised controlled trial | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To determine whether hip abductor and adductor muscle strengthening reduces medial compartment knee load and improves symptoms in people with medial tibiofemoral OA and varus malalignment. METHODS: In a randomised controlled trial, 89 participants were randomly allocated to a hip strengthening group or to a ... |
0 | How patient centered are medical decisions?: Results of a national survey | Surgical Management of Osteoarthritis of the Knee CPG | IMPORTANCE: Informing and involving patients in their medical decisions is increasingly becoming a standard for good medical care, particularly for primary care physicians. OBJECTIVE: To learn how patients describe the decision-making process for 10 common medical decisions, including 6 that are most often made in prim... |
0 | Does repetitive physical loading inhibit radial growth in female gymnasts? | Distal Radius Fractures | OBJECTIVE: Stress-related injuries to the distal radius have been noted in female gymnasts with potential for resultant premature closure and abnormal growth at this site. The purpose of this study was comprehensively to review and critically to appraise the available literature to examine the evidence related to this ... |
0 | Present status of osseous grafting procedures | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Osseous grafting techniques represent one mode of therapy to manage combination pocket-osseous defects. They have their greatest applicability in the intrabony defect although encouraging results have been noted in furcation and suprabony sites. Like all treatment modalities, their usage is dictated by the therapeutic ... |
0 | Charnley low-friction arthroplasty for the treatment of hips with late complications of femoral neck fractures | Management of Hip Fractures in the Elderly | Two hundred five Charnley low-friction arthroplasties (LFA) were performed in 205 patients for late complications of femoral neck fractures. LFA was an excellent procedure for relieving pain and restoring function with a good range of movement. The deep infection rate was 3.9%. A detailed analysis of the patients with ... |
0 | Fractures of the forefoot | DoD - ACS - Interrater Reliability | Fractures of the forefoot are common injuries of various causes. Although not crippling, forefoot fractures can be debilitating if they go undiagnosed or are mistreated. Whenever patients complain of foot pain with ambulation or difficulty ambulating, radiographs should be taken as part of a standard routine to assess ... |
0 | Harvest of superficial layers of fat with a microcannula and isolation of adipose tissue-derived stromal and vascular cells | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Adipose tissue is a source of stromal and vascular cells suitable for regenerative medical applications. Cell recovery depends on several factors, including the characteristics of the cannula used to harvest tissue. OBJECTIVES: The authors assess whether aspiration of superficial layers of adipose tissue pe... |
1 | Workplace surveillance for carpal tunnel syndrome using hand diagrams | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Four hundred and eleven workers from 4 different companies participated in a worksite screening program designed, in part, to estimate the prevalence of carpal tunnel syndrome (CTS). Each worker completed a discomfort survey and underwent limited nerve conduction testing of the median and ulnar sensory nerves in both w... |
1 | Platelet-rich plasma intra-articular injections for cartilage degeneration and osteoarthritis: single- versus double-spinning approach | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: To compare the safety and efficacy of two different approaches of platelet-rich plasma (PRP) production methods as intra-articular injection treatment for knee cartilage degenerative lesions and osteoarthritis (OA).
METHODS: The study involved 144 symptomatic patients affected by cartilage degenerative lesions... |
0 | External fixation of displaced femoral shaft fractures in children: a consecutive study of 98 fractures | DoD SSI (Surgical Site Infections) | OBJECTIVE: To evaluate unilateral external fixation when applied as the standard treatment of children with displaced femoral shaft fractures.
SETTING: Two county hospitals in central Sweden.
DESIGN: A consecutive and prospective study including all children aged 3 to 15 years with displaced femoral fractures admitted ... |
0 | Quality measures in osteoarthritis | SR for PM on OA of All Extremities | Published guidelines emphasize a multidisciplinary approach to management of patients with osteoarthritis (OA), yet studies have demonstrated substantial variation in the treatment approach of both primary care physicians and rheumatologists. During the past decade, quality indicators have been developed by several gro... |
1 | Accuracy of MRI in comparison with clinical and arthroscopic findings in ligamentous and meniscal injuries of the knee | Anterior Cruciate Ligament Injuries CPG | Rapidly progressing medical technology sometimes obscures the importance of history and physical examination. This study was designed to assess the value of MRI and clinical examination in the diagnosis of ligamentous and meniscal knee injuries in comparison with arthroscopic findings. In the year 2003-2004, we conduct... |
0 | Topical anesthesia for staple removal from surgical wounds on the knee: a prospective, double-blind, randomized trial | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Staple removal from surgical wounds is painful. Only a few articles have provided expert opinions using anesthetic cream for such a problem; however, direct application of the anesthetic cream to a wound may cause infection. A safe alternative can be an anesthetic patch without wound contact.
MATERIALS AND ... |
0 | Pediatric musculoskeletal trauma | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Continued research in the field of pediatric musculoskeletal trauma brings us closer to the goals of providing quality care for our patients. Ketamine may be safely used in the emergency room setting. Pediatric femur fractures may be treated with the use of a spica cast in patients younger than 10 years of age and weig... |
0 | Results of knee arthroplasty using the cemented press-fit condylar prosthesis. Based on a preliminary report | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Although retention of the posterior cruciate ligament in total knee arthroplasty remains controversial, several prostheses exist for this purpose and have been reported to have varying results. This study examines the short-term follow-up results of 107 total knee arthroplasties using a cemented press-fit condylar pros... |
1 | Comparison of the Frejka pillow and the von Rosen splint in treatment of congenital dislocation of the hip | Developmental Dysplasia of the Hip CPG | In southern Finland between 1966 through 1975, 920 newborns were treated with a Frejka pillow for dislocation of the hip. The treatment failed in 55 patients. The pillow was then rejected and replaced with the von Rosen splint. One hundred eighty patients were treated with the new method between 1978 and 1981. The trea... |
0 | Negative Stress Examination under Anesthesia Reliably Predicts Pelvic Ring Union Without Displacement | Hip Fx in the Elderly 2019 | Objectives: To identify the negative predictive value of examination under anesthesia (EUA) for determining pelvic ring stability and union without further displacement. Design: Retrospective cohort study. Setting: Two academic Level 1 trauma centers. Patients/Participants: Thirty-four adult patients with closed pelvic... |
0 | Intra-operative fractures in cementless bipolar hemiarthroplasty | Hip Fx in the Elderly 2019 | PURPOSE: To compare patients with or without intra-operative fracture during cementless bipolar hemiarthroplasty.
METHODS: Records of 76 men and 202 women who underwent cementless bipolar hemiarthroplasty for femoral neck fractures were reviewed. Patients with and without intra-operative fractures and patients with dif... |
0 | Free lymph node flap transfer and laser-assisted liposuction: a combined technique for the treatment of moderate upper limb lymphedema | Panniculectomy & Abdominoplasty CPG | Upper limb lymphedema following breast cancer surgery is a challenging problem for the surgeon. Lymphatico-venous or lymphatico-lymphatic anastomoses have been used to restore the continuity of the lymphatic system, offering a degree of improvement. Long-term review indicates that lumen obliteration and occlusion at th... |
1 | Physician and dentist compliance with American Heart Association guidelines for prevention of bacterial endocarditis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | To determine the rate of physician and dentist compliance with the American Heart Association's (AHA) recommendations for prophylaxis against bacterial endocarditis--considered the standard of care--questionnaires were mailed to 1,131 dental and medical practitioners. They were asked to identify various cardiac conditi... |
0 | Epidemiology of osteoporotic hip fractures in Western Romania | Hip Fx in the Elderly 2019 | PURPOSE: Fragility hip fractures represent a major health and social burden. To date, there are no reports regarding mortality and factors that influence outcomes after osteoporotic hip fractures in Romania.
MATERIAL AND METHODS: The electronic database of the largest healthcare provider in the western part of the coun... |
0 | Another cause of median nerve compression by a lumbrical muscle in the carpal tunnel | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A case is described in which division of a flexor digitorum profundus tendon allowed the proximal end of the tendon to retract, drawing its lumbrical muscle into the carpal tunnel where it caused compression of the median nerve |
0 | Tartrate-resistant acid phosphatase isoform 5b (TRACP 5b) as a serum maker for cancer with bone metastasis | MSTS 2018 - Femur Mets and MM | The spread of cancer to bone is considered a terminal event. Two main types of bone metastasis can manifest, i.e. osteoblastic and osteolytic. Irrespective of metastatic type, uncoupled bone remodeling is always present and perpetuates a vicious cycle of excess bone resorption and destruction. Biochemical markers of bo... |
1 | Does Patient Perception Differ Following Adductor Canal Block and Femoral Nerve Block in Total Knee Arthroplasty? A Simultaneous Bilateral Randomized Study | AAHKS (9/10) Regional Nerve Blocks | Background Femoral nerve block (FNB) has been used as part of the multimodal analgesia after total knee arthroplasty (TKA), but leads to weakness in the quadriceps muscles. Recently, adductor canal block (ACB) was reported to provide effective pain relief while sparing the strength of the quadriceps. This simultaneous ... |
0 | Povidone-iodine used as an adjunct to non-surgical treatment of furcation involvements | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: The aim of this clinical trial was to evaluate the effect of topically applied povidone-iodine (polyvinylpyrrolidone and iodine [PVP-I]) used as an adjunct to non-surgical therapy of furcation involvements. Methods: Forty-four patients presenting at least one Class II furcation involvement that bled on prob... |
0 | Arthroscopic Management of Elbow Osteoarthritis | DoD SSI (Surgical Site Infections) | The incidence of osteoarthritis in the general population is low, but it can be seen in manual laborers, throwing athletes, and people dependent on crutches and wheelchairs. Patients often complain of pain at the terminal extents of motion, and imaging shows osteophyte formation at the tips of the coronoid and olecrano... |
0 | Conjoint Removal of Hip Screw-Femur Head during Hip Replacement after Previous Dynamic Hip Screw Fixation | Hip Fx in the Elderly 2019 | The purpose of this study was to demonstrate the reduced chances of iatrogenic femoral neck fracture while removing the Richard's screw using the dynamic hip screw-femur head conjoint removal technique. This retrospective cohort study analyzed 16 hips operated on with total hip arthroplasty from March 2010 to February ... |
1 | Posterior Root Meniscal Tears: Preoperative, Intraoperative, and Postoperative Imaging for Transtibial Pullout Repair | AMP (Acute Meniscal Pathology) | The menisci play an important biomechanical role in axial load distribution of the knees by means of hoop strength, which is contingent on intact circumferentially oriented collagen fibers and meniscal root attachments. Disruption of the meniscal root attachments leads to altered biomechanics, resulting in progressive ... |
0 | Morphologic, biomechanical and experimental in vivo studies of laser-assisted meniscus resection | AMP (Acute Meniscal Pathology) | Arthroscopic meniscectomy is associated with an irregularly shaped resection rim leading to further degeneration and a considerable rate of iatrogenic lesions to the adjacent cartilage. In a controlled experimental trial the clinical value of laser-assisted meniscectomy was assessed with special reference to whether la... |
0 | Effect of alendronate and MK-677 (a growth hormone secretagogue), individually and in combination, on markers of bone turnover and bone mineral density in postmenopausal osteoporotic women | Management of Hip Fractures in the Elderly | GH increases bone turnover and stimulates osteoblast activity. We hypothesized that administration of MK-677, an orally active GH secretagogue, together with alendronate, a potent inhibitor of bone resorption, would maintain a higher bone formation rate relative to that seen with alendronate alone, thereby generating g... |
1 | Pulsed Electromagnetic Fields and Tissue Engineering of the Joints | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: Bone and joint formation, maintenance, and regeneration are regulated by both chemical and physical signals. Among the physical signals there is an increasing realization of the role of pulsed electromagnetic fields (PEMF) in the treatment of nonunions of bone fractures. The discovery of the piezoelectric p... |
0 | The organization of work: implications for injury and illness among immigrant Latino poultry-processing workers | DoD PRF (Psychosocial RF) | The US poultry-processing industry employs a large number of immigrants and has among the highest occupational illness rates for manufacturing. Previous research has not studied the potential health effects of psychosocial indicators of how poultry-processing work is organized. The investigators collected survey data f... |
0 | Computerized tomographic evaluation of acute distal radial fractures | Distal Radius Fractures | To learn whether computerized tomography offered additional useful information over conventional radiographic evaluation of acute distal radial fractures in the younger adult, we scanned 22 consecutive injured wrists. Of the distal radial fractures in 19 wrists, sixteen were defined on plain films as intra-articular. I... |
0 | The Effect of Point-of-care Ultrasound Guidance for Distal Radius Fracture Reduction | Distal Radius Fractures | Distal radius (Colle's) fractures in adult patients are commonly reduced in the emergency department before casting. Standard of care currently requires that xâ?rays be performed before and after fracture reduction, and inadequate reductions may be subject to repeat attempts and are at a higher risk to require surgery... |
0 | Ropivacaine versus bupivacaine for 3-in-1 block during total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | PURPOSE: To compare the use of ropivacaine versus bupivacaine for 3-in-1 block during total knee arthroplasty (TKA) in terms of efficacy and safety (lack of toxicity).
METHODS: 14 men and 26 women aged 58 to 77 (median, 70) years who had the American Society of Anesthesiologists (ASA) grades I to III physical status we... |
0 | Effect on osteoarthritis of spa therapy at Bourbonne-les-Bains | Management of Hip Fractures in the Elderly | OBJECTIVES: Several studies suggest a beneficial overall effect of spa therapy in chronic musculoskeletal diseases. The present open controlled study investigated the effects of spa therapy at Bourbonne-Les-Bains, France, in patients with hip or knee osteoarthritis or low back pain. PATIENTS andMETHODS: In 1998, 102 me... |
0 | Minimally invasive unicondylar knee arthroplasty for the treatment of unicompartmental osteoarthritis: an outpatient arthritic bypass procedure | Surgical Management of Osteoarthritis of the Knee CPG | This review summarizes past studies examining the progression of osteoarthritis (OA) of the knee that have led to the conclusion that the disease is slow, progressive, and typically limited to one tibiofemoral compartment. Treatments such as unicondylar knee arthroplasty (UKA) that address the single diseased compartme... |
0 | Automatic quantitative analysis of the electromyogram in partially denervated distal muscles: comparison with motor unit counting | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Using the ANOPS-101 minicomputer, an automatic analysis of muscle action potentials (MAP) was performed on a total of 53 extensor digitorum brevis (EDB) and abductor pollicis brevis (APB) muscles in patients with other evidence of denervation. The results were compared with observations made on 27 control subjects and ... |
0 | Long-term results of RTOG trial 8911 (USA Intergroup 113): a random assignment trial comparison of chemotherapy followed by surgery compared with surgery alone for esophageal cancer | Reconstruction After Skin Cancer | PATIENTS AND METHODSThe chemotherapy group received preoperative cisplatin plus fluorouracil. Outcome based on the type of resection (R0, R1, R2, or no resection) was evaluated. The main end point was overall survival. Disease-free survival, relapse pattern, the influence of postoperative treatment, and the relationshi... |
0 | Temporal trends in the incidence, treatment and outcomes of hip fracture after first kidney transplantation in the United States | Hip Fx in the Elderly 2019 | It is currently unknown whether any secular trends exist in the incidence and outcomes of hip fracture in kidney transplant recipients (KTR). We identified first-time KTR (1997-2010) who had >1 year of Medicare coverage and no recorded history of hip fracture. New hip fractures were identified from corresponding diagno... |
0 | Quantitative bone scintigraphy: usefulness in the survey of patients treated for bone metastasis of prostatic cancer | MSTS 2018 - Femur Mets and MM | The purpose of this study was to develop a quantitative bone scintigraphy (QBS) method in order to evaluate the evolution of bone metastases in patients treated for disseminated prostatic cancer. Data obtained by whole body scintigraphy after injection of 99mTc-methylene diphosphonate enabled us to define three indexes... |
0 | Microbiology of the infected knee arthroplasty: Report from the Swedish Knee Arthroplasty Register on 426 surgically revised cases | Surgical Management of Osteoarthritis of the Knee CPG | Surgically revised deep infected primary knee arthroplasties reported to the Swedish knee arthroplasty register during the years 19862000 were studied with respect to microbiology, antimicrobial susceptibility pattern and changes over time. In early, delayed and late infections, coagulase-negative staphylococci (CoNS) ... |
0 | Can a Novel Scoring System Improve on the Mirels Score in Predicting the Fracture Risk in Patients with Multiple Myeloma? | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Stratification of the fracture risk is an important treatment component for patients with multiple myeloma, which is associated with up to an 80% risk of pathologic fracture. The Mirels score, which is commonly used to estimate the fracture risk for patients with osseous lesions, was evaluated in a cohort i... |
0 | Roll, Spin, Wash, or Filter? Processing of Lipoaspirate for Autologous Fat Grafting: An Updated, Evidence-Based Review of the Literature | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The use of autologous adipose tissue harvested through liposuction techniques for soft-tissue augmentation has become commonplace among cosmetic and reconstructive surgeons alike. Despite its longstanding use in the plastic surgery community, substantial controversy remains regarding the optimal method of p... |
0 | Balloon expulsion test as a screen for outlet obstruction in children with chronic constipation | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: Chronic constipation (CC) is a common problem in pediatrics and is often the result of obstructed defecation. The aim of the present study was to study the feasibility and efficacy of the balloon expulsion test (BET) in the diagnosis and management of children with CC. METHODS: Retrospective study comparing ... |
0 | Intramedullary nail versus dynamic hip screw for intertrochanteric fracture in the elderly: circulatory blood volume | Hip Fx in the Elderly 2019 | BACKGROUND: The key of intertrochanteric fractures in elderly patients is to select the appropriate fixation, but few clinical studies concerned different fixation methods for blood volume of blood circulation system in elderly patients with intertrochanteric fractures. OBJECTIVE: To compare the effects of proximal fem... |
0 | Surface ultrastructure of rheumatoid articular cartilage | AMP (Acute Meniscal Pathology) | Six rheumatoid articular cartilage specimens, which appeared grossly normal and were shown to be free of pannus when examined under the light microscope, were examined electron microscopically. For comparison, normal-appearing cartilage specimens from 2 patients with meniscus injury and 2 with degenerative joint diseas... |
0 | Elastic nails for fibular fracture in adult tibiofibular fractures | PJI DX Updated Search | Treatment of adult tibiofibular fractures, especially severely comminuted fractures, is technically challenging due to the lack of reduction markers and difficulty in restoring the alignment. Fixation of the fibula can facilitate reduction of the tibia fracture and restoration of the lower-extremity alignment. However,... |
1 | Treatment of compound tibial fracture with free osteomuscular latissimus dorsi scapula flap | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Compound tibial fractures with extensive comminution and soft tissue defects are limb-threatening reconstructive challenges. The purpose of this study was to assess the long-term outcomes and the reliability of the latissimus dorsi scapula flap for this indication. METHODS: The hospital records of 26 compou... |
0 | Use of a shorter humeral stem in revision reverse shoulder arthroplasty | Glenohumeral Joint OA | Background The purpose of this study was to examine the outcomes of revision reverse arthroplasty using short bone-preserving humeral components in revising a long-stemmed component. Methods During a 7-year period, 39 patients who underwent revision reverse shoulder arthroplasty using the long to short humeral componen... |
1 | Type III tibial fractures in the elderly: results of 23 fractures in 20 patients | DoD LSA (Limb Salvage vs Amputation) | A series of 23 type III fractures of the tibia in 20 elderly patients (over 60 years of age) presenting for combined plastic and orthopaedic surgical management over a period of 15 years are reviewed. Overall limb salvage was 53 per cent, with an average inpatient duration not significantly different from that for ampu... |
0 | Upper extremities fractures in Alnajaf/Iraq | Pediatric Supracondylar Humerus Fracture 2020 Review | Purpose To take an idea about the size of an important socioeconomically public health problem, which are fractures of the upper extremities Material and Methods: All the patients who sustained upper extremities fractures in one year (between 1st Jan. till 31st Dec. 2018)included in this study. Data collected from the ... |
0 | Restoration of Opposition | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Opposition is not grasp but a preposition for grasp that involves 3 components of thumb movements: abduction, flexion, and pronation. Thumb opposition is usually lost with paralysis of the thenar muscles innervated by the median nerve. Many opposition transfers have been described that differ in the donor tendon, route... |
0 | Reversed Contralateral LISS Plate for Vancouver B1 Periprosthetic Femoral Shaft Fractures | DoD SSI (Surgical Site Infections) | The authors reviewed all patients treated for periprosthetic femur fractures between March 1, 2007, and January 31, 2010 at the senior author's institution. Demographic features, mechanism of injury, radiographs, and computed tomography scans were reviewed to determine the type and stability of the femoral implant at t... |
0 | Minimally invasive periprosthetic plate osteosynthesis using the locking attachment plate | Hip Fx in the Elderly 2019 | OBJECTIVE: Stable fixation of periprosthetic or periimplant fractures with an angular stable plate and early weight bearing as tolerated.
INDICATIONS: Periprosthetic femur fractures around the hip, Vancouver type B1 or C. Periprosthetic femur and tibia fractures around the knee. Periprosthetic fractures of the humerus.... |
0 | Tarsal Tunnel Syndrome: A Compression Neuropathy Involving Four Distinct Tunnels | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Although tarsal tunnel remains a difficult diagnosis and problem to treat, advances in the procedure have improved surgical outcomes. The advent of neurosensory PSSD testing or adjunct EMG/NCV testing has resulted in a more complete understanding of the level of entrapment. Futhermore, surgical outcomes have dramatical... |
0 | Prevalence of dementia in elderly patients with hip fracture | Management of Hip Fractures in the Elderly | Hip fractures occur commonly and are a cause of disability for older adults and lead to increased dependence and requirements for social support. Dementia is one of the possible risk factors for falling and hip fracture, a potential source for complications during surgery and during the postoperative period, difficulti... |
0 | Predictors and moderators in the randomized trial of multifamily psychoeducational psychotherapy for childhood mood disorders | DoD PRF (Psychosocial RF) | This study investigated predictors and moderators of mood symptoms in the randomized controlled trial (RCT) of Multi-Family Psychoeducational Psychotherapy (MF-PEP) for childhood mood disorders. Based on predictors and moderators in RCTs of psychosocial interventions for adolescent mood disorders, we hypothesized that ... |
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