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0 | Resilience under conditions of extreme stress: A multilevel perspective | DoD PRF (Psychosocial RF) | Resilience has been conceptualized as a dynamic developmental process encompassing the attainment of positive adaptation within the context of significant threat, severe adversity, or trauma. Until the past decade, the empirical study of resilience predominantly focused on behavioral and psychosocial correlates of, and... |
0 | Identification of the saphenous nerve at arthroscopy | AMP (Acute Meniscal Pathology) | Injury to the saphenous nerve can be a troublesome complication of arthroscopic procedures to the posterior half of the medial meniscus. In this article, we outline a technique for accurately identifying saphenous nerve position using transillumination of the saphenous vein. |
0 | Expression of C-X-C chemokine receptor types 1/2 in patients with gastric carcinoma: Clinicopathological correlations and significance | MSTS 2018 - Femur Mets and MM | C-X-C chemokine receptor types 1/2 (CXCR1/2) may play multiple roles in the development and progression of a number of types of tumor. The abnormal expression of CXCR1/2 in various types of malignant tumors has been reported, but less is known with regard to gastric carcinoma. The present study was preliminarily conduc... |
1 | Post-traumatic glenohumeral cartilage lesions: a systematic review | Glenohumeral Joint OA | BACKGROUND: Any cartilage damage to the glenohumeral joint should be avoided, as these damages may result in osteoarthritis of the shoulder. To understand the pathomechanism leading to shoulder cartilage damage, we conducted a systematic review on the subject of articular cartilage lesions caused by traumas where non i... |
0 | Increasing hip fracture incidence in California Hispanics, 1983 to 2000 | Management of Hip Fractures in the Elderly | BACKGROUND: Hip fracture incidence in non-Hispanic whites (NHW) has decreased nationwide for the past 20 years. Little is known regarding hip fracture incidence among Hispanics, the largest, fastest growing minority in the United States. OBJECTIVE: To assess the change in standardized hip fracture incidence from 1983 t... |
0 | Bone mineral density and bone metabolism in children treated for bone sarcomas | MSTS 2022 - Metastatic Disease of the Humerus | In adolescent bone sarcoma patients, bone mass acquisition is potentially compromised at a time in which it should be at a maximum. To evaluate the problem we measured bone mineral density (BMD) and serum markers of bone formation and resorption in a series of pediatric patients with bone tumors. BMD was measured by du... |
0 | Concept of Apabahuka in the lights of modern science: A review | Glenohumeral Joint OA | Apabahuka is one among the vatavyadhi (diseases due to vitiated vata dosha) which affects the normal functioning of the upper limbs thereby the normal routine lifestyle of an individual is affected too. The only classical symptom explained regarding Apabahuka is bahupraspanditahara (restricted movement of affected shou... |
1 | Deep postoperative wound infection after carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Between January 1976 and December 1985, 3620 carpal tunnel releases were done at the Mayo Clinic. A deep postoperative infection developed in 17 (0.47%) patients. These 17 were compared control group of 102 patients to identify possible risk factors. Statistically significant risk factors included intraoperative instil... |
0 | Value of the autotransfusion of blood recovered from the post-operative wound in arthroplasty patients | Management of Hip Fractures in the Elderly | BACKGROUND: The authors present their experiences with autotransfusion of blood recovered from the post-operative wound in 178 patients after a hip or knee arthroplasty operated on in 2006 and 2007. MATERIAL AND METHODS: We operated on 93 women and 63 men who underwent 33 emergency and 123 elective hip arthroplasties a... |
0 | Cost-effectiveness analysis for joint pain treatment in patients with osteoarthritis treated at the Instituto Mexicano del Seguro Social (IMSS): Comparison of nonsteroidal anti-inflammatory drugs (NSAIDs) vs. cyclooxygenase-2 selective inhibitors | SR for PM on OA of All Extremities | BACKGROUND: Osteoarthritis (OA) is one of the main causes of disability worldwide, especially in persons >55 years of age. Currently, controversy remains about the best therapeutic alternative for this disease when evaluated from a cost-effectiveness viewpoint. For Social Security Institutions in developing countries, ... |
1 | Recovery of Walking Ability and Return to Community Living within 60 Days of Hip Fracture Does Not Differ Between Male and Female Survivors | Hip Fx in the Elderly 2019 | OBJECTIVES: To compare risk-adjusted differences between men and women 30 and 60 days after hip fracture surgery in not walking, ability to return home in a community-dwelling subset, not walking in a nursing home resident subset, and mortality within 60 days.
DESIGN: Cohort study.
SETTING: Data were from a randomized ... |
0 | Action-blindsight in healthy subjects after transcranial magnetic stimulation | Upper Eyelid and Brow Surgery | Clinical cases of blindsight have shown that visually guided movements can be accomplished without conscious visual perception. Here, we show that blindsight can be induced in healthy subjects by using transcranial magnetic stimulation over the visual cortex. Transcranial magnetic stimulation blocked the conscious perc... |
0 | Patellofemoral pain syndrome | Osteochondritis Dissecans 2020 Review | Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain encountered in the outpatient setting in adolescents and adults younger than 60 years. The incidence in the United States is between 3% and 6%. The cardinal feature of PFPS is pain in or around the anterior knee that intensifies ... |
1 | Factors associated with tumor volume and primary metastases in Ewing tumors: Results from the (EI)CESS studies | MSTS 2018 - Femur Mets and MM | Background: Tumor volumes of more than 100 ml and the presence of primary metastases have been identified as determinants of poor prognosis in patients with Ewing tumors. We sought to assess the prevalence of critical tumor size and primary metastases in a large national sample of patients at the time of first diagnosi... |
0 | Hip fractures, nocturia, and nocturnal polyuria in the elderly | Management of Hip Fractures in the Elderly | This study was undertaken to evaluate the relation between hip fractures and nocturnal micturition habits in elderly men and women. A questionnaire survey was undertaken among 10,216 elderly subjects. The mean (+/-S.D.) ages of the men and women were 73.0+/-6.0 and 72.6+/-6.7 years, respectively. A hip fracture during ... |
0 | Prediction of arterial extravasation in pelvic fracture patients with stable hemodynamics using coagulation biomarkers | Hip Fx in the Elderly 2019 | Background: Determining the presence of an active arterial hemorrhage in the acute phase is important as a treatment strategy in patients with pelvic fracture. The purpose of this study was to evaluate whether coagulation biomarkers could predict arterial extravasation, especially in pelvic fracture patients with stabl... |
1 | Surgical treatment of displaced intra-articular calcaneal fractures: Is bone grafting necessary? | DoD SSI (Surgical Site Infections) | Background: The aim of this retrospective study was to determine the need for bone grafting in the surgical treatment of displaced intra-articular calcaneal fractures. We reviewed 390 cases of displaced intra-articular calcaneal fractures treated with plate osteosynthesis with or without autologous iliac bone grafting,... |
0 | Imaging of articular cartilage injuries of the lower extremity | AMP (Acute Meniscal Pathology) | Imaging has become an important clinical tool in the evaluation of articular cartilage, both in the clinical and research setting. This article reviews the mechanisms of articular cartilage injury in the lower extremities and their implications. Specific examples of acute and chronic repetitive injuries in the hip, kne... |
0 | Race/Ethnicity Moderates the Association Between Psychosocial Resilience and Movement-Evoked Pain in Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Objective: Racial/ethnic disparities in pain are well-recognized, with non-Hispanic blacks (NHBs) experiencing greater pain severity and pain-related disability than non-Hispanic whites (NHWs). Although numerous risk factors are posited as contributors to these disparities, there is limited research addressing how resi... |
0 | The external fixation in the treatment of humeral diaphyseal fractures: Outcomes of 84 cases | Pediatric Supracondylar Humerus Fracture 2020 Review | We retrospectively review 84 cases of diaphyseal humeral fractures (24 type A, 38 type B, 22 type C of the AO/OTA classification) treated with external fixation (Hoffmann II frame) between 1995 and 2007. Six of these fractures were complicated with radial nerve palsy. Four cases were open fractures. All reductions were... |
0 | Systematic percutaneous pinning of displaced extension-type supra-condylar fractures of the humerus in children: A prospective study of 67 patients | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Extension supra-condylar fracture of the humerus is a most common fracture in children. Several treatment regimens have been used in the treatment of displaced supra-condylar humeral fractures. A prospective study was performed including 67 children presenting a displaced supra-condylar humeral fracture. We uniformly t... |
0 | Free vascularized fibular graft reconstruction of large skeletal defects after tumor resection | DoD LSA (Limb Salvage vs Amputation) | UNLABELLED: Skeletal reconstruction of large tumor resection defects is challenging. Free vascularized fibular transfer offers the potential for rapid autograft incorporation in limbs compromised by adjuvant chemotherapy or radiation. We retrospectively reviewed 30 patients treated with free vascularized fibular graft ... |
0 | Magnetic resonance imaging scans are not a reliable tool for predicting symptomatic acromioclavicular arthritis | Glenohumeral Joint OA | Background: We investigated whether magnetic resonance imaging (MRI) scans can accurately diagnose arthritis of the acromioclavicular joint (ACJ) because it has recently been suggested that bone marrow oedema on MRI scans is a predictive sign of symptomatic ACJ arthritis.
Methods: The MRI scans of 43 patients (50 shoul... |
0 | Staphylococcus aureus adhesion to titanium oxide surfaces coated with non-functionalized and peptide-functionalized poly(L-lysine)-grafted-poly(ethylene glycol) copolymers | Dental Implant Infection | Implanted biomaterials are coated immediately with host plasma constituents, including extracellular matrix (ECM); this reaction may be undesirable in some cases. Poly(L-lysine)-grafted-poly(ethylene glycol) (PLL-g-PEG) has been shown to spontaneously adsorb from aqueous solution onto metal oxide surfaces, effectively ... |
0 | Clinical efficacy of intra-articular injections in knee osteoarthritis: A prospective randomized study comparing hyaluronic acid and betamethasone | OAK Recommendation 9 Articles | Background: Osteoarthritis (OA) is the most common joint disease and leading cause of disability. Intra-articular (IA) administration of hyaluronic acid (HA) or corticosteroids (CS) have been previously studied, though using insufficient number of patients or short follow-up periods.Objective: We evaluate HA and CS in ... |
0 | CT arthrography of adhesive capsulitis of the shoulderAre MR signs applicable? | Glenohumeral Joint OA | Objective To determine if diagnostic signs of adhesive capsulitis (AC) of the shoulder at Magnetic Resonance Imaging (MRI) and arthrography (MRA) are applicable to CT arthrography (CTA). Methods 22 shoulder CTAs with AC were retrospectively reviewed for features described in MR literature. The control group was compose... |
1 | The Risk of Falls after Total Knee Arthroplasty with the Use of a Femoral Nerve Block Versus an Adductor Canal Block: A Double-Blinded Randomized Controlled Study | AAHKS (9/10) Regional Nerve Blocks | Background: Adductor canal block (ACB) has emerged as an appealing alternative to femoral nerve block (FNB) that produces a predominantly sensory nerve block by anesthetizing the saphenous nerve. Studies have shown greater quadriceps strength preservation with ACB compared with FNB, but no advantage has yet been shown ... |
0 | Acetabular labral tears and cartilage lesions of the hip: Indirect MR arthrographic correlation with arthroscopy - A preliminary study | Management of Hip Fractures in the Elderly | OBJECTIVE. The purpose of this study was to assess the diagnostic correlation between indirect MR arthrography, conventional MRI, and arthroscopy in acetabular labral and cartilage lesions of the hip |
0 | Acetabular Remodeling After a Varus Derotational Osteotomy in Children With Cerebral Palsy | Developmental Dysplasia of the Hip 2020 Review | BACKGROUND: The optimal surgical intervention for hip dysplasia in cerebral palsy (CP) is controversial. The purpose of this study was to determine (1) whether an isolated varus derotation osteotomy (VDRO) for the treatment of CP hip dysplasia allows for acetabular remodeling as measured by acetabular depth ratio (ADR)... |
0 | Recanalized umbilical vein as a conduit for mesenterico/porto-Rex bypass for patients with extrahepatic portal vein obstruction | DOD - Acute Comp Syndrome CPG | PURPOSE: Mesenterico-left portal vein (meso-Rex) bypass is as an effective modality for restoring intrahepatic portal perfusion in patients with extrahepatic portal vein obstruction. Achieving sufficient patency is difficult with end-to-side anastomosis of a bypass graft to a small or hypoplastic left portal vein in th... |
0 | Altered patterns and synthesis of extracellular matrix macromolecules in early osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | The synthesis and contents of extracellular non-collagenous matrix macromolecules was studied in early and late human osteoarthritic (OA) cartilage obtained at surgery for sarcomas in the lower extremities (normal and early OA) or for total knee replacement (late stage OA). The early OA samples were those that had some... |
0 | Trends and social barriers for inpatient palliative care in patients with metastatic bladder cancer receiving critical care therapies | MSTS 2022 - Metastatic Disease of the Humerus | Background: Use of inpatient palliative care (IPC) in the treatment of advanced cancer represents a well-established guideline recommendation. A recent analysis showed that patients with genitourinary cancer benefit from IPC at the second lowest rate among 4 examined primary cancers, namely lung, breast, colorectal, an... |
0 | Contribution of trochanteric soft tissues to fall force estimates, the factor of risk, and prediction of hip fracture risk | Management of Hip Fractures in the Elderly | We compared trochanteric soft tissue thickness, femoral aBMD, and the ratio of fall force to femoral strength (i.e., factor of risk) in 21 postmenopausal women with incident hip fracture and 42 age-matched controls. Reduced trochanteric soft tissue thickness, low femoral aBMD, and increased ratio of fall force to femor... |
0 | Cathepsins B, K, and L are regulated by a defined collagen type II peptide via activation of classical protein kinase C and p38 MAP kinase in articular chondrocytes | Surgical Management of Osteoarthritis of the Knee CPG | Degradation of the extracellular matrix (ECM) is a prominent feature in osteoarthritis (OA), which is mainly because of the imbalance between anabolic and catabolic processes in chondrocytes resulting in cartilage and bone destruction. Various proteases act in concert to degrade matrix components, e.g. type II collagen... |
0 | Antibiotic-loaded synthetic calcium sulfate beads for prevention of bacterial colonization and biofilm formation in periprosthetic infections | PJI DX Updated Search | Periprosthetic infection (PI) causes significant morbidity and mortality after fixation and joint arthroplasty and has been extensively linked to the formation of bacterial biofilms. Poly(methyl methacrylate) (PMMA), as a cement or as beads, is commonly used for antibiotic release to the site of infection but displays ... |
0 | Acetabular fractures: the role of total hip replacement | PJI DX Updated Search | Total hip replacement (THR) after acetabular fracture presents unique challenges to the orthopaedic surgeon. The majority of patients can be treated with a standard THR, resulting in a very reasonable outcome. Technical challenges however include infection, residual pelvic deformity, acetabular bone loss with ununited ... |
0 | Evaluation of screening schemes for eye disease in a primary care setting | Upper Eyelid and Brow Surgery | BACKGROUND AND PURPOSE: Screening in a primary care setting could be an effective method for detection of eye disease. This study was designed to evaluate a questionnaire and a battery of tests for their performance in eye disease screening at a primary care clinic. METHODS: 405 patients aged 40 years or older were int... |
0 | Trends in hip fracture incidence and in the prescription of antiosteoporosis medications during the same time period in Belgium (2000-2007) | Management of Hip Fractures in the Elderly | OBJECTIVE: To examine the secular trend of hip fracture incidence in Belgium between 2000 and 2007 and the concomitant change in the prescriptions of antiosteoporosis medications. METHODS: The incidence of hip fractures and the number of prescriptions were determined using national databases. A logistic regression incl... |
0 | Moxibustion for the treatment of osteoarthritis: a systematic review and meta-analysis | SR for PM on OA of All Extremities | The aim of this review was to summarise and critically evaluate the evidence from randomised clinical trials (RCTs) of moxibustion as a treatment for patients with osteoarthritis (OA). Twelve databases were searched from their inception through July 2011. RCTs were considered whether they assessed any type of clinical ... |
0 | Tibial plateau fractures in the older patient | Surgical Management of Osteoarthritis of the Knee CPG | The epidemiology and management of 151 tibial plateau fractures in patients aged over 60 years of age were reviewed. There were 115 females and 36 males. The usual mode of injury was a simple fall (88 fractures, 58%). The most common pattern of injury observed was the split depression variety, which accounted for 48 (3... |
0 | Instability and femoral head vitality in fractures of the femoral neck | Management of Hip Fractures in the Elderly | Sixteen patients with femoral neck fractures were studied with roentgen-stereophotogrammetric analysis (RSA) and low-field magnetic resonance (MR) imaging in addition to plain roentgenography. In six patients, these results were compared with the results of histopathologic analyses. All fractures were stabilized with t... |
1 | Predicting participation in ultrasound hip screening from message framing | Developmental Dysplasia of the Hip CPG | The use of ultrasound (US) screening for developmental dysplasia of the hip (DDH) is an innovation in preventive child health care in the Netherlands. What is not known is whether parents will accept this screening method and will actually participate in it. It is widely known that health behaviors can be influenced by... |
0 | Factor IX replacement to cover total knee replacement surgery in haemophilia B: a single-centre experience, 2000-2010 | PJI DX Updated Search | Total knee replacement (TKR) is a well recognized treatment for haemophilic arthropathy. Successful haemostasis can be achieved by bolus doses or continuous infusion (CI) using either recombinant (r) or plasma-derived (pd) factor IX (FIX). We retrospectively analysed our experience of factor replacement to cover TKR in... |
0 | Randomized, prospective study of TissuGlu® surgical adhesive in the management of wound drainage following abdominoplasty | Panniculectomy & Abdominoplasty CPG | Wound drainage and seroma formation following abdominoplasty remain significant concerns to both surgeons and patients due to the resulting increased need for patient follow-up and delays in returning to normal function. While a number of approaches are used to reduce wound drainage and seroma formation, there is still... |
0 | Dynamic hip screws for unstable intertrochanteric fractures in elderly patients--encouraging results with a cement augmentation technique | PJI DX Updated Search | BACKGROUND: Despite the good and reliable results of the dynamic hip screw (DHS) for stable fracture patterns, complications of excessive sliding of the lag screw and inadequate bone anchorage occur frequently in elderly patients with unstable intertrochanteric fractures. Although polymethylmethacrylate (PMMA) bone cem... |
0 | Health care needs and support for patients undergoing treatment for prosthetic joint infection following hip or knee arthroplasty: A systematic review | OAK 3 - Non-arthroplasty tx of OAK | Background: Hip and knee arthroplasty are common interventions for the treatment of joint conditions, most notably osteoarthritis. Although many patients benefit from surgery, approximately 1% of patients develop infection afterwards known as deep prosthetic joint infection (PJI), which often requires further major sur... |
0 | The Effect of Preoperative Administration of Intravenous Tranexamic Acid During Revision Hip Arthroplasty: A Retrospective Study | Hip Fx in the Elderly 2019 | BACKGROUND: Revision hip arthroplasty poses several challenges, including the management of perioperative blood loss. Recent studies have validated the use of tranexamic acid in primary total hip arthroplasty, showing reduced blood loss and decreased number of allogenic blood transfusions. The effectiveness of tranexam... |
0 | Complication rates following open reduction and internal fixation of ankle fractures | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Ankle fractures are among the most common injuries treated by orthopaedic surgeons. The purpose of the present investigation was to examine the risks of complications after open reduction and internal fixation of ankle fractures in a large population-based study. METHODS: With use of California's discharge ... |
0 | Expression of calcitonin gene-related peptide in medullary thyroid cancer | MSTS 2018 - Femur Mets and MM | We studied the expression of calcitonin (CT) and calcitonin gene-related peptide (CGRP) in 18 patients with medullary thyroid cancer (MTC) in the neoplastic (primary or metastatic) tissue by immunohistochemistry and in the plasma by radioimmunoassay. CT immunoreactivity was found in 100% of the primary and metastatic M... |
1 | Functional comparison of the dynamic hip screw and the Gamma locking nail in trochanteric hip fractures: a matched-pair study of 268 patients | Management of Hip Fractures in the Elderly | The aim of this prospective matched-pair (age, sex, fracture type, residential status, and walking ability at fracture) study was to analyse the short-term outcome after Gamma nail (GN) and dynamic hip screw (DHS) fixation, focusing especially on functional aspects (Standardised Audit of Hip Fractures in Europe [SAHFE]... |
1 | Revision surgery of reverse shoulder arthroplasty | Glenohumeral Joint OA | Background: There is limited knowledge regarding revision of reverse shoulder arthroplasty (RSA). This study assesses reasons for failure in RSA and evaluates the outcomes of revision RSA. Materials and methods: Between 1997 and 2009, 37 patients with RSA had revision surgery. Clinical and radiologic examinations perfo... |
0 | Measuring functional outcomes in work-related upper extremity disorders. Development and validation of the Upper Extremity Function Scale | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Questionnaire-based measures of function have been validated extensively in studies of chronic illness and work-related low back pain. These measures have only recently been developed for upper extremity disorders (UEDs), and there is little information on their utility in evaluation of injured workers. We developed th... |
0 | Identification Bracelet Precipitated Acute Compartment Syndrome during Intravenous Infusion in an Obtunded Patient | DOD - Acute Comp Syndrome CPG | Acute compartment syndrome is a serious condition requiring immediate medical care. A lack of urgent medical treatment can result in serious complications such as loss of function and even amputation. While the pathophysiology of acute compartment syndrome is well understood, numerous potential causes are still being d... |
1 | The role of community screening for developmental dysplasia of the hip at the 8-month baby check | Developmental Dysplasia of the Hip CPG | BACKGROUND: Screening for developmental dysplasia of the hip (DDH) after the neonatal period is controversial. Due to recent changes in the screening policy in England & Wales, routine clinical screening for DDH at the 8-month baby check is no longer recommended. RESULTS: This paper looks at the effectiveness of screen... |
0 | Bone demineralization and vertebral fractures in endogenous cortisol excess: role of disease etiology and gonadal status | Management of Hip Fractures in the Elderly | INTRODUCTION: The effects of endogenous cortisol (F) excess on bone mass and vertebral fractures have still not been thoroughly investigated. The aim of this cross-sectional case-control study was to investigate factors influencing bone demineralization and vertebral fractures in different conditions of F excess, i.e. ... |
1 | Epidural vs. lumbar plexus infusions following total knee arthroplasty: randomized controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND AND OBJECTIVE: Postoperative regional analgesia for total knee replacement can provide excellent pain control and speedy rehabilitation compared with systemic opioid analgesia but the optimal technique to provide best analgesia with minimal adverse effects remains unclear. We carried out an observer-blinded ... |
0 | Long-term Outcomes with Ifosfamide-based Hypofractionated Preoperative Chemoradiotherapy for Extremity Soft Tissue Sarcomas | DoD SSI (Surgical Site Infections) | Objectives: The objective of this study was to analyze outcomes for patients with soft tissue sarcoma of the extremities using neoadjuvant ifosfamide-based chemotherapy and hypofractionated reduced dose radiotherapy, followed by limb-sparing surgery. Materials and Methods: An Institutional Review Board (IRB)- approved ... |
0 | Effect of levobupivacaine on articular chondrocytes: an in-vitro investigation | AAHKS (8) Anesthetic Infiltration | BACKGROUND: Intra-articular injection of local anaesthetics is a technique commonly used to enhance postoperative analgesia following arthroscopic surgery. However, the potential for cartilage damage due to toxicity of intra-articular local anaesthetics is a concern. Most studies indicate that the toxic effect is drug ... |
0 | Early surgery increases mitochondrial DNA release and lung injury in a model of elderly hip fracture and chronic obstructive pulmonary disease | Hip Fx Time to Surgery | Hip fractures are one of the most common injuries in elderly individuals and are associated with a high incidence of complications and mortality. Clinical guidelines recommend early reparative surgery within 24-48 h from hospital admission; however, it is currently unknown whether this principle of early surgery is app... |
0 | Medial Closing-Wedge Distal Femoral Osteotomy: Fixation With Proximal Tibial Locking Plate | OAK 3 - Non-arthroplasty tx of OAK | Distal femoral varus osteotomy is a well-established procedure for the treatment of lateral compartment cartilage lesions and degenerative disease, correcting limb alignment and decreasing the progression of the pathology. Surgical techniques can be performed with a lateral opening-wedge or medial closing-wedge correct... |
0 | Emergency Department Visits Following Joint Replacement Surgery in an Era of Mandatory Bundled Payments | PJI DX Updated Search | OBJECTIVES: The Center for Medicare and Medicaid Services (CMS) is actively testing bundled payments models. This study sought to identify relevant details for 90-day post-discharge Emergency Department (ED) visits of Medicare beneficiaries following total joint replacement (TJR) surgery meeting eligibility for a CMS b... |
1 | Diagnosis of long head of biceps tendinopathy in rotator cuff tear patients: correlation of imaging and arthroscopy data | Trial Systematic Review Project | Introduction: The goal of this prospective study was to assess the reliability of pre-operative cross-sectional imaging for the diagnosis of long head of biceps (LHB) tendinopathy in patients with a rotator cuff tear. Methods: Cross-sectional imaging with MRI or CT arthrography data from 25 patients operated upon becau... |
0 | pH and metal concentration of synovial fluid of osteoarthritic joints and joints with metal replacements | PJI DX Updated Search | BACKGROUND: Due to degradation and metal dissolution during articulation of metal joint replacements the chemical periprosthetic environment may change. The aim was to establish whether metal replacements cause the local changes in pH and elevated metal concentrations. METHODS: pH was measured on samples from 167 patie... |
0 | Unicompartmental arthroplasty for knee osteoarthritis | Osteochondritis Dissecans 2020 Review | This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess the benefits and harms of unicompartmental knee arthroplasty in the treatment of knee osteoarthritis in adults in terms of decreasing pain, increasing knee function, and postponing the need for a total knee arthroplasty. |
0 | Virtual Fracture Clinics in Orthopaedic Surgery - A Systematic Review of Current Evidence | DoD SSI (Surgical Site Infections) | AIMS: Approximately 75% of fractures are simple, stable injuries which are often unnecessarily immobilised with subsequent repeated radiographs at numerous fracture clinic visits. In 2014, the Glasgow Fracture Pathway offered an alternative virtual fracture clinic (VFC) pathway with the potential to reduce traditional ... |
0 | High tibial osteotomy for the treatment of unicompartmental arthritis of the knee | Surgical Management of Osteoarthritis of the Knee CPG | Proximal tibial osteotomy can be used to correct varus and valgus deformities in the management of isolated medial or lateral compartment osteoarthritis. Several surgical techniques have been described for achieving this goal, and the relative merits of each have been outlined. Whatever the technique used, the selectio... |
0 | Fresh-stored osteochondral allografts for the treatment of femoral head defects: surgical technique and preliminary results | Osteochondritis Dissecans 2020 Review | PURPOSE: The purpose of this study was to present the preliminary clinical and radiographic outcomes of the treatment of femoral head osteochondral defects in eight consecutive symptomatic patients with fresh-stored osteochondral allografts via a trochanteric osteotomy. METHODS: This study included all consecutive pati... |
0 | A Surgeon's Guide to Obtaining Hemorrhage Control in Combat-Related Dismounted Lower Extremity Blast Injuries | DoD LSA (Limb Salvage vs Amputation) | The application of lessons learned on the battlefield for timely surgical control of lower extremity hemorrhage secondary to blast injuries to the civilian practice for similar wounding patterns from industrial accidents or terrorist activities is imperative. Although simple cut-down procedures are commonly sufficient ... |
0 | Knee arthrodesis with a press-fit modular intramedullary nail without bone-on-bone fusion after an infected revision TKA | PJI DX Updated Search | INTRODUCTION: Knee arthrodesis can be an effective treatment after an infected revision Total Knee Arthroplasty (TKA). The main hypothesis of this study is that a two-stage arthrodesis of the knee using a press-fit, modular intramedullary nail and antibiotic loaded cement, to fill the residual gap between the bone surf... |
0 | Follow-up of total hip replacement using domestic prosthesis in 33 hips | Management of Hip Fractures in the Elderly | BACKGROUND: Total hip replacement has been widely used in the treatment of severer hip diseases in China. However, most of prostheses are designed according to Caucasian osteometric measurements, whether those prostheses are suitable for Orientals is still in dispute. It is emerging to design prostheses for Orientals, ... |
0 | Total Knee Replacement TIVA | AAHKS (4) Acetaminophen | Preoperative Care Patients will be approached at the preadmission clinic or in the general ward before operation. The anaesthetic techniques will be explained and s/he will be recruited into the study if s/he agrees. Fasting will start 6 hours before surgery for solids and 2 hours clear fluid. All patients will be give... |
0 | Ex-smokers and risk of hip fracture | Management of Hip Fractures in the Elderly | OBJECTIVES: The purpose of this study was to examine the reversibility of the effect of smoking on hip fracture incidence rates. METHODS: A 3-year follow-up cohort study was conducted involving 35,767 adults 50 years of age or older. Of these individuals, 421 suffered a hip fracture. RESULTS: Among participants less th... |
0 | Lateral meniscal slope negatively affects post-operative anterior tibial translation at 1 year after primary anterior cruciate ligament reconstruction | AMP (Acute Meniscal Pathology) | PURPOSE: The aim of this study was to assess the correlation between posterior tibial slope and meniscal slope over postoperative anterior tibial translation during the first 18 months after primary anterior cruciate ligament (ACL) reconstruction. The main hypothesis was that PTS and MS would be positively correlated w... |
0 | Quadriceps neuromuscular function and self-reported functional ability in knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | The purposes of this study were to determine 1) the relationships of self-reported function scores in patients with knee osteoarthritis (OA) to both maximal isometric torque and to isotonic power at a variety of loads, and 2) the degree to which muscle volume (MV) or voluntary activation (VA) are associated with torque... |
0 | The collagen changes of Dupuytren's contracture | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In Dupuytren's contracture there is an increase in the ratio of type III to type I collagen. The objective of this study was to determine if fibroblasts from patients with Dupuytren's contracture have an intrinsic aberration in collagen production or whether local factors govern the collagen changes in Dupuytren's cont... |
0 | Two-Year Outcomes After Arthroscopic Lateral Meniscus Centralization | AMP (Acute Meniscal Pathology) | PURPOSE: To evaluate clinical and radiographic outcomes of arthroscopic centralization for lateral meniscal extrusion.
METHODS: Twenty-one patients who underwent arthroscopic centralization of the lateral meniscus were included. In cases with an extruded lateral meniscus (9 patients) or discoid meniscus (12 patients), ... |
0 | A HIF-regulated VHL-PTP1B-Src signaling axis identifies a therapeutic target in renal cell carcinoma | MSTS 2018 - Femur Mets and MM | Metastatic renal cell carcinoma (RCC) is a molecularly heterogeneous disease that is intrinsically resistant to chemotherapy and radiotherapy. Although therapies targeted to the molecules vascular endothelial growth factor and mammalian target of rapamycin have shown clinical effectiveness, their effects are variable a... |
1 | Intra-articular treatment of knee osteoarthritis: from anti-inflammatories to products of regenerative medicine | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Knee osteoarthritis (OA) is a debilitating condition that may ultimately require total knee arthroplasty (TKA). Non-operative treatments are bracing, oral analgesics, physical therapy, and intra-articular knee injection (IAKI). The objective of this paper is to provide a systematic literature review regardi... |
0 | Use of cementless acetabular component with a hook and iliac flanges in revision arthroplasty for massive acetabular defect | PJI DX Updated Search | BACKGROUND: Revision hip arthroplasty of massive acetabular defect, severe combined defect, or pelvic discontinuity is challenging. The purpose of this study was to determine the midterm outcome and survivorship of a new revision technique using cementless acetabular cup supplemented with a hook and three iliac flanges... |
0 | Entrapment neuropathies II: carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Diagnostic tests in patients complaining of carpal tunnel syndrome (CTS) are based on physical examination, electrodiagnostic tests (EDTs), and diagnostic imaging. Timely diagnosis helps prevent permanent nerve damage and its sequelae in terms of functional impairment. Imaging provides additional information to that ob... |
0 | Difficulty of total hip arthroplasty following open reduction and internal fixation of acetabular fractures | Hip Fx in the Elderly 2019 | Background: The incidence of posttraumatic arthrosis after acetabular fractures is significant, and patients frequently require secondary total hip arthroplasty. Conversion arthroplasty is more technically difficult, and there is higher risk than with routine primary total hip arthroplasty. The goal of this study was t... |
1 | Results and complications in elderly patients with acetabular fractures | Hip Fx in the Elderly 2019 | Background: The frequency of acetabular fractures in elderly patients is rising over time. The group presents with underlying challenges including osteoporosis, medical comorbidities, and varying levels of baseline physical and cognitive function. The purposes of this study were to characterize such patients and to det... |
0 | Orthopaedic crossfire--can we justify unicondylar arthroplasty as a temporizing procedure? in opposition | Surgical Management of Osteoarthritis of the Knee CPG | The indications for unicompartmental arthroplasty are quite specific. Overall, there should be involvement of 1 tibiofemoral compartment, mild malalignment, and ligamentous stability. In a review of 250 osteoarthritic knees, these pathologic findings were present in 19 patients (8%). Technique, despite improvement in i... |
0 | Focal knee resurfacing | Osteochondritis Dissecans 2020 Review | A significant number of patients suffer from focal articular damage that is neither appropriate for traditional arthroplasty, nor for biological repair. Since 2005, contoured focal resurfacing systems for the femoral condyle have been available that can cater for this specific subgroup of patients. Independent long-ter... |
0 | Not just a talking shop: practitioner perspectives on how communities of practice work to improve outcomes for people experiencing multiple exclusion homelessness | DoD PRF (Psychosocial RF) | Within homelessness services recent policy developments have highlighted the need for integration and improved collaborative working and also, the need for "Psychologically Informed Environments" (PIES) in which workers are better equipped to manage the "complex trauma" associated with homelessness. Drawing on the find... |
0 | Five-year relative survival of patients with osteoporotic hip fracture | Hip Fx in the Elderly 2019 | CONTEXT: Osteoporotic hip fracture is known to be associated with excess mortality. The 1-year mortality rate after hip fracture is known to reach up to ~20%, similar to that of cancer. However, there was no study that compared cancer survival. Recently, relative survival has been used to present a prognosis for a part... |
0 | Comparison of lifetime incremental cost:utility ratios of surgery relative to failed medical management for the treatment of hip, knee and spine osteoarthritis modelled using 2-year postsurgical values | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Demand for surgery to treat osteoarthritis (OA) of the hip, knee and spine has risen dramatically. Whereas total hip (THA) and total knee arthroplasty (TKA) have been widely accepted as cost-effective, spine surgeries (decompression, decompression with fusion) to treat degenerative conditions remain underfu... |
0 | In-hospital mortality analysis in patients with proximal femoral fracture operatively treated by hip arthroplasty procedure | DoD SSI (Surgical Site Infections) | BACKGROUND/AIM: Hip fracture remains the leading cause of death in trauma among elderly population and is a great burden to national health services. In-patient death analysis is important to evaluate risk factors, make appropriate selection and perform adequate treatment of infections for patients to be operated. The ... |
0 | Analgesic consumption after total knee replacement (TKR) in 11 European Hospitals participating in the Pain-Out Project | Surgical Management of Osteoarthritis of the Knee CPG | Introduction and aims: Pain after TKR is moderate-severe, regardless of the type of analgesia administered. We have assessed the analgesic requirements during postoperative day 1 after TKR, in 11 European hospitals participating in the PainOut Project (www.pain-out.eu). Patients and methods: Data was obtained from 990 ... |
0 | Patella intraosseous blood flow disturbance during a medial or lateral arthrotomy in total knee arthroplasty: a laser Doppler flowmetry study | Surgical Management of Osteoarthritis of the Knee CPG | Patella complications are recognized sequelae of total knee arthroplasty (TKA). Disruption of blood flow to the patella and adjacent soft tissues during surgery may contribute to reduced viability of the bone and patella ligament tissue. The effect on genicular blood flow to the medial and lateral patella was compared ... |
0 | Total knee arthroplasty treatment of rheumatoid arthritis with severe versus moderate flexion contracture | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: This study aims to explore the technique of soft tissue balance and joint tension maintenance in total knee arthroplasty (TKA) for the rheumatoid arthritis (RA) patients with flexion contracture of the knee. METHODS: This retrospective study reviewed flexion contracture deformity of RA patients who underwen... |
1 | Immediate internal fixation of open, complex tibial plateau fractures: treatment by a standard protocol | DoD SSI (Surgical Site Infections) | A retrospective review of 46 consecutive patients with complex (Schatzker V and VI) tibial plateau fractures treated at Harborview Medical Center between 1984 and 1989, disclosed a subset of 14 grade II or III (Gustilo) open injuries. We wished to determine the incidence of infection, union rate, and the number of oper... |
0 | Comparison of quadriceps-sparing minimally invasive and medial parapatellar total knee arthroplasty: a 2-year follow-up study | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND/PURPOSE: Quadriceps-sparing minimally invasive total knee arthroplasty (TKA) has been proposed to limit surgical dissection without compromising surgical outcome. We conducted a prospective and randomized study to compare the outcomes of patients who underwent quadriceps-sparing TKA with the outcomes of thos... |
1 | Effect of bisphosphonates, denosumab, and radioisotopes on bone pain and quality of life in patients with non-small cell lung cancer and bone metastases: A systematic review | MSTS 2018 - Femur Mets and MM | Bone metastases are common in patients with non-small cell lung cancer (NSCLC), often causing pain and a decrease in quality of life (QoL). The effect of bone-Targeted agents is evaluated by reduction in skeletal-related events in which neither pain nor QoL are included. Radioisotopes can be administered for more diffu... |
1 | Liposomal bupivacaine versus traditional bupivacaine for pain control after total hip arthroplasty: A meta-analysis | AAHKS (8) Anesthetic Infiltration | BACKGROUND: In the past, the efficacy of local infiltration of liposomal bupivacaine for total hip arthroplasty (THA) patients was in debate. Therefore, this meta-analysis was conducted to determine whether local infiltration of liposomal bupivacaine provides better pain relief after THA.
METHODS: We searched Web of Sc... |
0 | The effect of intra-articular epinephrine lavage on blood loss following total knee arthroplasty | AAHKS (8) Anesthetic Infiltration | The purpose of this study was to examine the effects of intra-articular epinephrine lavage on blood loss following total knee arthroplasty (TKA). Our retrospective study involved 189 patients who had primary cemented TKA by 1 of 2 surgeons. Surgeon 1 performed 41 procedures without and 53 with the epinephrine lavage. S... |
0 | Capacity limitations and representational shifts in spatial short-term memory | Upper Eyelid and Brow Surgery | Performance was examined in a task requiring the reconstruction of spatial locations. Previous research suggests that it may be necessary to differentiate between memory for smaller and larger numbers of locations (Postma & DeHaan, 1996), at least when locations are presented simultaneously (Igel & Harvey, 1991). Detai... |
0 | Pain in arthroscopic knee surgery under local anesthesia | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: We evaluated pain during arthroscopic knee surgery performed under local anesthesia, with respect to various types of lesions and specific procedures used. PATIENTS AND METHODS: Arthroscopic surgery was performed on 63 joints (61 patients), with a median age of 49 years. We asked the patients to describe th... |
0 | Displaced supracondylar fractures of the humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We performed an audit of 71 children with consecutive displaced, extension-type supracondylar fractures of the humerus over a period of 30 months. The fractures were classified according to the Wilkins modification of the Gartland system. There were 29 type IIA, 22 type IIB and 20 type III. We assesed the effectiveness... |
0 | Rationale, baseline characteristics and methodology of the non-interventional VIVA study in postmenopausal osteoporosis | Hip Fx in the Elderly 2019 | Background: It is important to understand compliance and persistence with medication use in the clinical practice of osteoporosis treatment. The purpose of this work is to describe the "intravenous ibandronate versus oral alendronate" (VIVA) study, a non-interventional trial to assess the compliance and persistence of ... |
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