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0 | Draining after breast reduction: a randomised controlled inter-patient study | Reduction Mammoplasty for Female Breast Hypertrophy | One hundred and seven bilateral breast reductions were prospectively randomised during surgery to receive or not receive wound drains. Fifty-five patients were randomised to have a drain and 52 to not have a drain. There was no statistical difference in the number of complications between the drained and undrained grou... |
0 | Open-wedge high tibial osteotomy: comparison between manual and computer-assisted techniques | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of our study was to compare clinical and radiological results of two groups of patients treated for medial compartment osteoarthritis of the knee with either conventional or computer-assisted open-wedge high tibial osteotomy (HTO). Goals of surgical treatment were a correction of the mechanical axi... |
0 | Long-term effect of removal of knee joint loading on cartilage quality evaluated by delayed gadolinium-enhanced magnetic resonance imaging of cartilage | OAK 3 - Non-arthroplasty tx of OAK | Objective: Ankle fracture patients were used as a model to study the long-term effect of the removal of joint loading on knee cartilage quality in human subjects. Design: The knees of 10 patients with ipsilateral ankle fractures were investigated using delayed gadolinium-enhanced magnetic resonance imaging of cartilage... |
0 | Vision and falls | Upper Eyelid and Brow Surgery | Falls occur in about one third of older people living independently in the community every year. This can lead to significant physical, psychological and financial costs to the individual and the community. While the risk factors for falls in older people are multifactorial, poor vision is considered to be an important... |
0 | Cohort for the study of falls (CEC-2 study): Incidence of falls in the Spanish elderly population | Management of Hip Fractures in the Elderly | Introduction.- The objective of this study was to estimate the incidence of falls and fractures among elderly persons in the Spanish population. Method.- This prospective cohort study included 770 subjects older than 64 years and not institutionalised, living in Spain. The sample was gathered using a multistage probabi... |
0 | Emerging ideas: prevention of posttraumatic arthritis through interleukin-1 and tumor necrosis factor-alpha inhibition | AMP (Acute Meniscal Pathology) | BACKGROUND: Despite surgical and mechanical stabilization of an acutely injured joint through ligament reconstruction, meniscus repair, or labral repair, the risk of posttraumatic arthritis remains high. Joint injury triggers three phases of pathogenic events: the early (acute) phase involves joint swelling, hemarthros... |
0 | Transareolar-perinipple (areolar omega) zigzag incision for augmentation mammaplasty | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Optimal augmentation mammaplasty results not only from proper implant size and breast shape, but also from the minimization of postoperative scarring, especially in patients prone to hypertrophic scars. In this context, the authors present a transareolar-perinipple (areolar omega) zigzag approach. METHODS: ... |
0 | Recovery of contractile properties of the knee-extensor muscles after arthroscopic partial meniscectomy | AMP (Acute Meniscal Pathology) | Context: Contractile characteristics of the knee extensors after arthroscopic meniscectomy are poorly understood. Objective: To measure the recovery of knee-extensormuscle contractility after arthroscopic partial meniscectomy. Design: Single-group repeated measures. Setting: Kinesiology and biomechanics laboratory. Sub... |
0 | Heel bone ultrasound predicts non-spine fracture in Japanese men and women | Management of Hip Fractures in the Elderly | A number of prospective studies in the USA and Europe have demonstrated that quantitative ultrasound (QUS) measurements predict fracture risk. To our knowledge, there has been no such study in a Japanese population, and very few studies have measured the prognostic value of QUS measurements among men, even in the USA a... |
0 | Periarticular infiltration of 0.25% bupivacaine on top of femoral nerve block and intrathecal morphine improves quality of pain control after total knee arthroplasty: a randomized double-blind placebo controlled clinical trial | AAHKS (9/10) Regional Nerve Blocks | OBJECTIVE: Find out if the addition of periarticular local anesthetic infiltration enhances the quality of postoperative pain control in patients with knee arthroplasty (TKA) in spinal anesthesia and intrathecal morphine plus single shot femoral nerve block (FNB). MATERIAL AND METHOD. Ninety-nine patients scheduled for... |
0 | Tumescent anaesthesia | Panniculectomy & Abdominoplasty CPG | Tumescent anaesthesia describes the practice of injecting a very dilute solution of local anaesthetic combined with epinephrine and sodium bicarbonate into tissue until it becomes firm and tense (tumescent). It was initially described in the field of liposuction but now surgical applications for the technique are widel... |
1 | Evaluating the efficiency of specimen pooling for PCR-based detection of COVID-19 | Coronavirus Disease 2019 (COVID-19) | In the age of a pandemic, such as the ongoing one caused by SARS-CoV-2, the world faces a limited supply of tests, personal protective equipment, and factories and supply chains are struggling to meet the growing demands. This study aimed to evaluate the efficacy of specimen pooling for testing of SARS-CoV-2 virus, to ... |
0 | Influence of leg length discrepancy on clinical results after total hip arthroplasty - a prospective clinical trial | PJI DX Updated Search | The effect of leg length differences on early clinical outcome after total hip arthroplasty remains uncertain. We performed a prospective study on 94 patients who were evaluated preoperatively and one year after surgery for clinical leg length differences, which were then compared with radiological measurements. The ef... |
0 | Long-term outcomes after pediatric peripheral revascularization secondary to trauma at an urban level I center | DoD SSI (Surgical Site Infections) | OBJECTIVE: The purpose of this investigation was to determine our limb-related contemporary pediatric revascularization perioperative and follow-up outcomes after major blunt and penetrating trauma.
METHODS: A retrospective review was performed of a prospectively maintained pediatric trauma database spanning January 20... |
1 | Complications of supracondylar osteotomies for cubitus varus | Pediatric Supracondylar Humerus Fracture 2020 Review | BACKGROUND: Humeral osteotomies for cubitus varus have a notoriously high complication rate. Pitfalls of this difficult procedure are highlighted. METHODS: A 50-year experience of 68 consecutive surgeries was reviewed. Factors such as surgical approach and fixation technique were compared for complication incidence and... |
0 | Impact of surface topography and coating on osteogenesis and bacterial attachment on titanium implants | Dental Implant Infection | Titanium (Ti) plays a predominant role as the material of choice in orthopaedic and dental implants. Despite the majority of Ti implants having long-term success, premature failure due to unsuccessful osseointegration leading to aseptic loosening is still too common. Recently, surface topography modification and biolog... |
0 | Ideal screw positions for multiple screw fixation in femoral neck fractures - Study of proximal femur morphology in a Japanese population | Hip Fx in the Elderly 2019 | BACKGROUND: Despite the fact that multiple screw fixation is a common option of surgical treatment for femoral neck fractures, there is a paucity of precise morphological study of the femoral neck. To identify appropriate positions and spacing of hip screws for multiple-screw femoral neck fracture fixation, proximal fe... |
0 | SIE, SIES, GITMO evidence-based guidelines on novel agents (thalidomide, bortezomib, and lenalidomide) in the treatment of multiple myeloma | MSTS 2018 - Femur Mets and MM | In this project, we produced drug-specific recommendations targeting the use of new agents for multiple myeloma (MM). We used the GRADE (Grades of Recommendation, Assessment, Development, and Evaluation) system which separates the judgments on quality of evidence from the judgment about strength of recommendations. We ... |
1 | Age Predicts Disruption of the Articular Surface of the Femoral Condyles in Knee OCD: Can We Reduce Usage of Arthroscopy and MRI? | Osteochondritis Dissecans 2020 Review | BACKGROUND: The purpose of this study was to determine if patient age could accurately identify disrupted articular cartilage overlying an osteochondritis dissecans (OCD) lesion of the femoral condyle in adolescents. This could have important implications for imaging and treatment decisions. METHODS: All patients from ... |
0 | Safety and Clinical Effectiveness of Percutaneous Vertebroplasty in the Elderly (=80 years) | MSTS 2022 - Metastatic Disease of the Humerus | Purpose: To evaluate the safety and clinical effectiveness of percutaneous vertebroplasty (PVP) in patients aged 80 and over. Methods: One hundred and seventy-three patients (127 women, 46 men; mean age = 84.2y) underwent 201 PVP procedures (391 vertebrae) in our institution from June 2008 to March 2012. One hundred an... |
0 | The effect of triclosan on developing gingivitis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The aim of the study was to examine whether triclosan has an effect on developing gingival inflammation. 10 volunteers, with clinically healthy gingivae were enrolled. The study was performed as a 2-week, double-blind, cross-over, experimental gingivitis trial. Between each plaque accumulation period, there was a wash-... |
0 | Effect of various rinsing protocols after use of amine fluoride/stannous fluoride toothpaste on the bacterial composition of dental plaque | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This clinical study evaluated the effect of different oral hygiene protocols on the bacterial composition of dental plaque. After a 2-week period of using fluoride-free toothpaste, 30 participants followed three 1-week experimental protocols, each followed by 2-week fluoride-free washout periods in a randomized crossov... |
0 | The Difficult Primary Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Primary total knee arthroplasty (TKA) for the treatment of knee arthritis has substantially increased over the past decade. Because of its success, the indications for primary TKA have expanded to include younger patients who are more active, elderly patients who have multiple comorbidities, and patients who have more ... |
0 | Preoperative Mild Pericardial Effusion Is Associated With Perioperative Complications In Elderly Patients Following Hip Fracture Surgery | Hip Fx in the Elderly 2019 | Background: The prevalence and prognostic value of mild pericardial effusion (MPE) has not been examined in patients undergoing non-cardiac surgery. Our study aimed to assess the frequency and prognostic value of MPE in elderly patients undergoing surgery for hip fracture. Methods: This is a single center, and retrospe... |
0 | Novel renal markers for the assessment of renal integrity in patients undergoing knee arthroplasty - a pilot study | AAHKS (8) Anesthetic Infiltration | BACKGROUND: The feasibility of novel kidney injury biomarkers in consecutive patients having total knee arthroplasty with local infiltration analgesia was evaluated.
METHODS: We enrolled 30 patients scheduled for elective unilateral total knee arthroplasty. Paired plasma and urine samples were taken before surgery and ... |
0 | Inhibiting STAT3 in a murine model of human breast cancer-induced bone pain delays the onset of nociception | MSTS 2018 - Femur Mets and MM | Aggressive breast cancer subtypes utilize system x<sub>c</sub><sup>-</sup>, a membrane antiporter, to import cystine for glutathione synthesis and maintenance of redox homeostasis, in turn releasing glutamate as a metabolic pro-nociceptive by-product. Metastatic breast cancers establish themselves at distal sites inclu... |
0 | Gestational Gigantomastia: A Case Report | Reduction Mammoplasty for Female Breast Hypertrophy | Gestational gigantomastia is a rare disorder characterized by rapidly progressive hypertrophy of the breast tissue during pregnancy. Its prevalence is approximately 1:100,000, and although the etiology of this condition remains unclear, it may be related to hormonal change. This study reports the case of a 39-year-old ... |
0 | Single-cell RNA sequencing reveals the cell types heterogenicity of human discoid lateral meniscus cells | AMP (Acute Meniscal Pathology) | Discoid lateral meniscus (DLM) is more prone to injury than a normally shaped meniscus. No study has compared the gene expression and cell heterogeneity between discoid and normal menisci. We aimed to identify specific cell clusters and their marker genes in discoid meniscus, thereby providing a theoretical basis for t... |
0 | Carotid intima-media thickness in patients with carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: We measured the carotid intima-media thickness, a surrogate marker of early atherosclerosis, in patients with carpal tunnel syndrome compared to a control group to evaluate the risk of atherosclerotic disease. METHODS: Between January 2011 and December 2011, female patients presenting to the outpatient neur... |
0 | Monoflanged Custom-Made Acetabular Components Promote Biomechanical Restoration of Severe Acetabular Bone Defects by Metallic Defect Reconstruction | Hip Fx in the Elderly 2019 | Background: Custom-made acetabular components (CMAC) are one established method to address severe acetabular bone defects. Monoflanged CMAC may represent an advantageous alternative to establish triflanged CMAC as they promote better primary stability through metallic defect reconstruction and thus anatomic restoration... |
1 | Postoperative analgesia for elective total knee arthroplasty under subarachnoid anesthesia with opioids: Comparison between epidural, femoral block and adductor canal block techniques (with and without perineural adjuvants). Aprospective, randomized, clinical trial | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Optimal control of acute postoperative pain and prevention of chronic persistent pain in total knee arthroplasty (TKA) remain a challenge. The main hypothesis was that nerve blocks improve postoperative analgesia especially if perineural adjuvants are added. METHODS: Immediate postoperative pain (24 hours) ... |
0 | Botulinum Toxin Injections for Leg Contouring in East Asians | Panniculectomy & Abdominoplasty CPG | BACKGROUND: A common aesthetic concern among East Asian women is enlarged calves. Although surgical resection has been a traditional treatment option, botulinum toxin injections into the gastrocnemius muscle are an emerging, noninvasive alternative. OBJECTIVE: To perform a literature review on botulinum toxin injection... |
0 | Periocular basal cell carcinoma: 5-year outcome following Slow Mohs surgery with formalin-fixed paraffin-embedded sections and delayed closure | Reconstruction After Skin Cancer | AIM: The aim of the study was to determine the 5-year outcome of periocular basal cell carcinoma (BCC) managed by Mohs surgery using formalin-fixed, paraffin-embedded sections (Slow Mohs). METHODS: This was a prospective, non-comparative, interventional case series of all patients with periocular BCC treated by Slow Mo... |
0 | Tissue engineering for anterior cruciate ligament reconstruction: a review of current strategies | BMAC (Bone Marrow Aspirate Concentrate) | The anterior cruciate ligament (ACL) is one the most commonly injured ligaments of the knee. Chronic ACL insufficiency can result in episodic instability, chondral and meniscal injury, and early osteoarthritis. The intra-articular environment of the ligament precludes normal healing and surgical replacement of the inju... |
0 | Steroid sulfatase, arylsulfatases A and B, galactose-6-sulfatase, and iduronate sulfatase in mammary cells and effects of sulfated and non-sulfated estrogens on sulfatase activity | Reduction Mammoplasty for Female Breast Hypertrophy | Sulfatase enzymes have important roles in metabolism of steroid hormones and of glycosaminoglycans (GAGs). The activity of five sulfatase enzymes, including steroid sulfatase (STS; arylsulfatase C), arylsulfatase A (ASA; cerebroside sulfatase), arylsulfatase B (ASB; N-acetylgalactosamine-4-sulfatase), galactose-6-sulfa... |
0 | Experience of valgus osteotomy for neglected and failed osteosynthesis in fractures neck of femur | DoD SSI (Surgical Site Infections) | PURPOSE: There is vast literature supporting valgus osteotomy in fracture neck of femur. However, little or no distinction has ever been made to evaluate the success of the procedure in these two different scenarios-non-unions due to failed osteosynthesis and neglected fractures neck of femur. The aim of our study was ... |
0 | Hospitalized patients' views on in-ward psychological counseling | DoD PRF (Psychosocial RF) | This qualitative study explores the feelings and beliefs of patients hospitalized in an orthopedic rehabilitation ward for receiving psychological help in that setting. Semi-structured interviews with 10 hospitalized patients were audiotaped, transcribed verbatim, and analyzed using interpretative phenomenological anal... |
0 | Is ACL reconstruction only for athletes? A study of the incidence of meniscal and cartilage injuries in an ACL-deficient athlete and non-athlete population: an Indian experience | AMP (Acute Meniscal Pathology) | While anterior cruciate ligament (ACL) reconstruction is readily offered to athletes, non-athletes are often treated conservatively. We carried out a retrospective, cross-sectional analysis study to compare the incidence of meniscal and cartilage injuries in an athlete and non-athlete population in relation to time of ... |
0 | Functional assessment of tissue-engineered meniscal cartilage by magnetic resonance imaging and spectroscopy | AMP (Acute Meniscal Pathology) | A perfusion bioreactor system was used to grow bioartificial meniscal cartilage tissue in vitro. Magnetic resonance imaging and magnetic resonance spectroscopy methods were used to characterize the flow and perfusion profiles and the growth, distribution, and bioenergetics of the fibrochondrocytes in the resulting cons... |
0 | Lower eyelid reverse ptosis repair | Upper Eyelid and Brow Surgery | PURPOSE: To report the results of the surgical repair of lower eyelid reverse ptosis. METHODS: Retrospective case series. Eight patients ranging in age from 31 to 77 years underwent surgical repair of lower eyelid reverse ptosis. The pupillary axis of the affected eye(s) in each patient was obscured in downgaze, interf... |
0 | Detection of extraosseous metastases from osteosarcoma with (99m)Tc polyphosphate bone scanning | MSTS 2018 - Femur Mets and MM | Two cases of osteosarcoma of the femur are presented. In both patients, bone scans confirmed the presence of pulmonary metastases. (99m)Tc polyphosphate (TcPP) localizes in the extraskeletal pulmonary metastases, including some not demonstrated radiographically. Thus the TcPP scan is a valuable adjunct in the staging a... |
0 | Failure of the gamma nail in a highly unstable proximal femur fracture: report of four cases encountered in The Netherlands | Management of Hip Fractures in the Elderly | Static forces of body weight and dynamic forces induced by walking are a challenge toward lasting fixation devices in the case of unstable peritrochanteric fractures. Experiences with the newly developed gamma nail internal fixation technique are promising. The fixation is stable, complication rates are low, and fractu... |
0 | Effects of epinephrine in local anesthetic mixtures on hemodynamics and view quality during knee arthroscopy | Surgical Management of Osteoarthritis of the Knee CPG | We compared three different methods of anesthesia for outpatient knee arthroscopy in terms of perioperative surgical conditions, pain, and hemodynamics. In a prospective and double-blind study ( n=130) the patients were randomized into three groups. A 50-ml mixture composed of 20 ml 0.5% bupivacaine hydrochloride, 10 m... |
0 | Examination of concomitant glenohumeral pathologies in patients treated arthroscopically for calcific tendinitis of the shoulder and implications for routine diagnostic joint exploration | Glenohumeral Joint OA | BACKGROUND: Glenohumeral exploration is routinely performed during arthroscopic removal of rotator cuff calcifications in patients with calcific tendinitis of the shoulder (CTS). However, evidence on the prevalence of intraarticular co-pathologies is lacking and the benefit of glenohumeral exploration remains elusive. ... |
0 | Connections between the tendons of the musculus flexor digitorum profundus involving the synovial sheaths in the carpal tunnel | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | In the carpal tunnel anatomical interconnections between the tendons of the musculus flexor digitorum profundus are systematically present. These interconnections limit the mutual tendon displacements, which decreases finger independence and may be problematic in a musician's hand. The present study investigates a poss... |
1 | Anchor-line abdominoplasty: a comprehensive approach to abdominal wall reconstruction and body contouring | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Classic abdominoplasty leads to disappointing aesthetic results in patients with preexisting supraumbilical scars. Various techniques involving vertical and horizontal incisions have been described. The authors point out the validity of the "anchor-line" approach. METHODS: In a retrospective study, the auth... |
0 | Bone metastases from differentiated thyroid carcinoma | MSTS 2018 - Femur Mets and MM | The presence of distant metastases from differentiated thyroid carcinoma decreases the 10-year survival of patients by 50%. Bone metastases represent a frequent complication especially of follicular thyroid cancer and severely reduce the quality of life causing pain, fractures, and spinal cord compression. Diagnosis is... |
1 | Competitive swimmers with hypermobility have strength and fatigue deficits in shoulder medial rotation | Trial Systematic Review Project | Generalised Joint Hypermobility including shoulder hypermobility (GJHS) in swimmers is considered an intrinsic risk factor for shoulder injuries. The aim was to investigate the association of GJHS with shoulder strength, fatigue development and muscle activity during swimming-related shoulder rotations. Totally, 38 com... |
0 | Enzymatic and immunohistochemical evaluation of tyrosine phosphorylation in breast cancer specimens | Reduction Mammoplasty for Female Breast Hypertrophy | Using a synthetic peptide substrate, tyrosine protein kinase (TPK) activity was measured in 21 tumors from patients with histologically confirmed breast cancer and in five normal breast tissues from patients undergoing reduction mammoplasty. In 20 of 21 cancer specimens, tumor was available to assess phosphotyrosine (P... |
0 | What Is the Normal Ulnar Bow in Adult Patients? | Distal Radius Fractures | BACKGROUND: Rotation of the forearm is a result of the complex interaction among the radius, ulna, and interosseous membrane. Although the radius is recognized as curved, the ulna is generally thought of as a "straight bone." To better describe normal anatomy, which may lead to more successful anatomic fixation of fore... |
0 | Non-skeletal determinants of fractures: the potential importance of the mechanics of falls. Study of Osteoporotic Fractures Research Group | Management of Hip Fractures in the Elderly | Bones break because the forces applied to them exceed their strength. For most non-spine fractures, this force results from a fall. Falls generate at least 10 times the energy necessary to fracture the proximal femur, but only 5%-10% of falls in older white women cause fractures and only 1% cause hip fractures. The mec... |
0 | Stepping strategy used to recover balance during an induced fall is associated with impaired function and strength in people with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | AIM: We investigated differences in function, strength and pain in those with knee osteoarthritis (OA) who responded with a single step compared to multiple steps during balance recovery during an induced forward fall.
METHOD: The stepping response of 24 participants with knee OA (50% female, age 68.6 +/- 6.2 years) as... |
0 | Distally Based Sural Adipofascial Turnover Flap for Coverage of Complicated Wound in the Foot and Ankle Region | DoD SSI (Surgical Site Infections) | BACKGROUNDS: Distally based perforator propeller flap from the lower leg region is a versatile local reconstructive technique for the foot and ankle defects. However, flap venous congestion remains a tough nut to crack. We hypothesize that raising an adipofascial flap with turnover mode of transposition can improve ven... |
0 | Prevalence of Osteoporosis During Long-Term Androgen Deprivation Therapy in Patients with Prostate Cancer | MSTS 2018 - Femur Mets and MM | Objectives: To know the prevalence of osteoporosis in patients with prostate cancer according to the duration of androgen deprivation therapy (ADT). Methods: Dual energy x-ray absorptiometry was used to assess the bone mineral density (BMD) at the lumbar spine, femoral neck, Ward's triangle, trochanter, and total hip i... |
0 | (Mis)understanding in patient-health care provider communication about total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | Objective. To examine whether communication factors affect health care provider and patient agreement on the need for, risks of, and benefits of joint replacement, and also whether degree of agreement predicts patient satisfaction and intent to follow treatment recommendations. Methods. Health care providers (n = 27) a... |
1 | An iliopsoas plane block does not cause motor blockadeââ?¬â?쳌A blinded randomized volunteer trial | AAHKS (9/10) Regional Nerve Blocks | Background: A femoral nerve block relieves pain after total hip arthroplasty, but its use is controversial due to motor paralysis accompanied by an increased risk of fall. Assumedly, the iliopsoas plane block (IPB) targets the hip articular branches of the femoral nerve without motor blockade. However, this has only be... |
0 | Magnetic resonance imaging of musculoskeletal injuries | AMP (Acute Meniscal Pathology) | Magnetic resonance (MR) imaging has been applied toward the assessment of a wide spectrum of injuries to the musculoskeletal system. This use of MR imaging has been enthusiastically accepted by orthopedic surgeons, and the assessment of musculoskeletal trauma has emerged as one of the most commonly utilized application... |
0 | Knee osteoarthritis: hyaluronic acid, platelet-rich plasma or both in association? | PRP (Platelet-Rich Plasma) | INTRODUCTION: Bidirectional interactions between cells and fluidic surroundings regulate cellular functions and maintain tissue or organ architecture. Accordingly, the synovial fluid is the primary source of environmental signals and determines to a great extent the molecular interactions within the joint capsule, both... |
0 | The epidemiology of humeral shaft fractures | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We have analysed 249 consecutive fractures of the humeral shaft treated over a three-year period. The fractures were defined by their AO morphology, position, the age and gender of the patient and the mechanism of injury. Open fractures were classified using the Gustilo system and soft-tissue injury, and closed fractur... |
0 | Motivators for and barriers to physical activity in people with knee osteoarthritis: A qualitative study | OAK 3 - Non-arthroplasty tx of OAK | Objectives: We aimed to explore the motivators for and barriers to regular physical activity in people with knee osteoarthritis. Methods: We performed a cross-sectional, monocentric qualitative study based on 20 semi-structured individual interviews and two focus groups. People with knee osteoarthritis according to Ame... |
0 | Ganglion Cyst of Knee from Hoffa's Fat Pad Protruding Anterolaterally Through Retinacular Rent: A Case Report | PJI DX Updated Search | INTRODUCTION: Intra-articular ganglion cysts of the knee joint are rare occurrences. They are usually encountered as incidental findings in magnetic resonance imaging (MRI), or in arthroscopy. They may originate from both the cruciate ligaments and the menisci, from the popliteus tendon and alar folds, infrapatellar fa... |
0 | Effect of prosthesis selection on flexion-extension function after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Background: With the development of new materials and the improvement of prosthesis design, total knee arthroplasty(TKA), a commonly used surgery, has exhibited satisfying effect on the treatment of rheumatoid arthritis and osteoarthrosis. However, many problems still remain a headache to operation performers. Objectiv... |
0 | Wind swept elbow: injury pattern and reconstruction | Distal Radius Fractures | Sweeping injuries of the elbow characterized by traumatic loss of medial or lateral epicondyles, collateral ligaments, and surrounding soft tissue result in loss of joint stability. Reconstruction of medial or lateral collateral ligaments is challenging due to loss of the cortical bone and the resultant difficulty in i... |
0 | Better late than never? Experience with intravenous pamidronate treatment in patients with low bone mass or fractures following cardiac or liver transplantation | Management of Hip Fractures in the Elderly | Organ transplantation is associated with a high turnover of bone metabolism, and an increased loss of bone mass and incidence of osteoporotic fractures. Established therapies for osteoporosis after organ transplantation are still lacking, however. We report on an intravenous bisphosphonate therapy initiated in transpla... |
1 | Subchondral stem cell therapy versus contralateral total knee arthroplasty for osteoarthritis following secondary osteonecrosis of the knee | BMAC (Bone Marrow Aspirate Concentrate) | PURPOSE: Total knee arthroplasty (TKA) implanted in patients with secondary osteonecrosis (ON) related to corticosteroids have relatively poor outcome (20% revision rate) at a mean follow-up of only eight years. With the hypothesis that subchondral bone marrow injection might improve knees in these patients, we evaluat... |
0 | Hand rejuvenescence by fat filling | Panniculectomy & Abdominoplasty CPG | The advantages of fat filling for hand rejuvenescence are discussed. Seventy-two patients treated by this method are presented, including their follow-up, complication rate, and details of combined operations. Preference is given to local anesthesia when no other major surgeries are associated with the method. A highly... |
1 | The effects of resistance exercise in patients with knee osteoarthritis: a systematic review and meta-analysis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: To analyze the effectiveness of resistance exercise in the treatment of knee osteoarthritis on pain, stiffness, and physical function.
DESIGN: Systematic review and meta-analysis of randomized controlled trials.
DATA SOURCES: PubMed, Embase, Cochrane Central Register of Controlled Trials, the Web of Science,... |
0 | Comparison of an etiologic-based exercise and conventional strengthening exercises on knee loading in individuals with Knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: Intervention 1: intervention group: Patients will be treated for 4 weeks and 3 sessions per week by electrical stimulation, educational leaflet, continues ultrasoundtherapy, hot pack and strengthening training include flexion and extension exercise of knee joint. Intervention 2: intervention group: Patien... |
1 | Higher early mortality with simultaneous rather than staged bilateral TKAs: results from the Swedish Knee Arthroplasty Register | Surgical Management of Osteoarthritis of the Knee CPG | Patients with knee osteoarthritis (OA) often present with symptoms that warrant bilateral TKAs. There are potential benefits to operating on both knees on the same day, but the safety of simultaneous bilateral TKAs has been questioned. To evaluate whether there were any differences in 30-day mortality between patients ... |
0 | Infective endocarditis caused by Streptococcus mutans | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Members of the viridans group of streptococci are the commonest causes of bacterial endocarditis. However, Streptococcus mutans, a member of this group associated with dental caries which might be expected to be commonly associated with endocarditis, has only rarely been reported. This is possibly because of difficulti... |
0 | Oral hormone therapy with 17beta-estradiol and 17beta-estradiol in combination with norethindrone acetate in the prevention of bone loss in early postmenopausal women: dose-dependent effects | Management of Hip Fractures in the Elderly | OBJECTIVE: A 2-year multicenter, double-blind, randomized, placebo-controlled study examined the efficacy and safety of different doses of 17beta-estradiol (E(2)) alone and continuous-combined oral formulations of E(2) and norethindrone acetate (NETA) versus placebo in the prevention of bone loss in newly menopausal wo... |
0 | Cost-effectiveness analysis of hyalgan versus synvisc in the treatment of osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Osteoarthritis (OA) is the most common and costly form of arthritis. Treatment goals for OA are to reduce pain, maintain and/or improve joint mobility, and limit functional impairment. Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most common pharmacological treatment for OA. Hyalgan (sodium hyaluro... |
0 | Overview of the intra aortic balloon pump | DOD - Acute Comp Syndrome CPG | An intra aortic balloon pump is a device that primarily increases coronary artery blood flow and decreases myocardial oxygen demand by inflating and deflating during the cardiac cycle. Its main use is in the failing or ischaemic myocardium, but there are increasingly more indications with improving technology. An incre... |
0 | Cartilage repair and joint preservation: medical and surgical treatment options | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Articular cartilage defects are most often caused by trauma and osteoarthritis and less commonly by metabolic disorders of the subchondral bone, such as osteonecrosis and osteochondritis dissecans. Such defects do not heal spontaneously in adults and can lead to secondary osteoarthritis. Medications are ind... |
1 | Skeletal complications in patients with bone metastases from renal cell carcinoma and therapeutic benefits of zoledronic acid | MSTS 2018 - Femur Mets and MM | Bone metastases in patients with renal cell carcinoma are associated with a high risk of skeletal complications. Therefore, a subset analysis of a larger clinical trial was performed to determine the efficacy of zoledronic acid in renal cell carcinoma patients. Patients with bone metastases from solid tumors other than... |
0 | Effectiveness of calcium hydroxide-based intracanal medicaments against Enterococcus faecalis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | AIM: To evaluate the antimicrobial efficacy of calcium hydroxide-based intracanal medicaments against Enterococcus faecalis. METHODOLOGY: One hundred and six single-rooted human teeth were inoculated with E. faecalis (ATCC 29212) and incubated in an microaerophilic environment for 21 days. Teeth were divided according ... |
0 | Successful management of osteosynthesis infection caused by Enterococcus faecium after severe leg trauma | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: Infection of alloplastic material is usually caused by staphylococci. Enterococci rarely have been implicated in infections after osteosynthesis. Enterococcus faecium is resistant to most antibiotics with glycopeptides being considered the treatment of choice. Methods: We describe the case of a 41-year-old ... |
0 | Arthrodesis for septic arthritis of the ankle: risk factors and complications | DoD LSA (Limb Salvage vs Amputation) | Introduction: Septic ankle joint arthrodesis is a good therapeutic option in cases of infection after trauma or orthopedic surgical procedures. Many different procedures have been described, but external fixation seems to be standard. Aim of this study is to identify risk factors for complications in septic ankle joint... |
0 | Effect of nutritional intervention on length of stay, postoperative complications, functional status and mortality in hip fracture patients: A multi-centre randomised controlled trial (RCT) | Management of Hip Fractures in the Elderly | Rationale: Hip fractures have a high burden on health care resources and as a consequence high health care costs. Our aim was to assess whether nutritional intervention in elderly hip fracture patients reduces length of stay, postoperative complications, and one-year mortality rate, and improves functional status and q... |
1 | The influence of vacuum-assisted closure on inflammatory tissue reactions in the postoperative course of ankle fractures | DoD SSI (Surgical Site Infections) | Vacuum-assisted closure (vacuum sealing) is a surgical procedure for the local treatment of severe soft-tissue damage. However, systemic consequences to the host are unknown. The aim of this study was to disclose the effects of vacuum sealing on the host's immune response and to demonstrate the early time course of end... |
0 | Preoperative Smoking and Narcotic, Benzodiazepine, and Tramadol Use are Risk Factors for Narcotic Use After Hip and Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The use of narcotics has been found to be a modifiable risk factor for success of arthroplasty. We sought to determine the risk factors leading to increased narcotic use after total hip arthroplasty and total knee arthroplasty.
METHODS: A retrospective chart review was performed on new patients presenting t... |
0 | Comparative, validity and responsiveness of the HOOS-PS and KOOS-PS to the | Surgical Management of Osteoarthritis of the Knee CPG | Objective: To evaluate the internal consistency of the Hip disability and Osteoarthritis Outcome Score-Physical Function Short-form (HOOS-PS) and the Knee injury and Osteoarthritis Outcome Score-Physical Function Short-form (KOOS-PS) in total hip replacement (THR) and total knee (TKR) replacement. Construct validity an... |
0 | Choice of peripheral venoarterial extra-corporeal membrane oxygenation cannulation site in patients above 15 kilograms | DOD - Acute Comp Syndrome CPG | Background Extracorporeal membrane oxygenation (ECMO) is a life-saving measure for pediatric patients with cardiopulmonary failure. The option of cannulating neck vessels versus those of the groin exists for patients over 15 kg; however, each carries the risk for complications. We present a single-center experience com... |
0 | Outcomes of total and unicompartmental knee arthroplasty for secondary and spontaneous osteonecrosis of the knee | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: The reported outcomes of patients who underwent total or unicompartmental knee arthroplasty for secondary and spontaneous osteonecrosis of the knee are often from studies that lack the number of subjects necessary to generate meaningful conclusions. We systematically reviewed the available literature in ord... |
0 | Prior Anterior Cruciate Ligament Reconstruction Effects on Future Total Knee Arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | Background: The impact of prior anterior cruciate ligament (ACL) reconstruction on total knee arthroplasty (TKA) has rarely been studied. The objective of this study was to compare intraoperative characteristics in patients who underwent TKA with pre-existing hardware from prior ACL reconstruction with a matched cohort... |
0 | Outcomes of knee arthroscopy under local anaesthesia | AMP (Acute Meniscal Pathology) | Objective To evaluate the outcome of knee arthroscopy performed under local anaesthesia. Methods In a retrospective study between 1999 and 2004, the medical charts, theatre reports and radiological images of 225 patients were reviewed. Function was assessed from SF-36, WOMAC, Tegner and Lysholm scores. Patients were in... |
0 | Acute effects of salmon calcitonin in multiple myeloma: a valuable method for serial evaluation of osteoclastic lesions and disease activity--a prospective study of 125 patients | MSTS 2018 - Femur Mets and MM | Hypocalcemia induced by salmon calcitonin (SCT) was evaluated in 125 patients with multiple myeloma (MM) and compared with 20 normal individuals (NCs) and 20 individuals with monoclonal gammopathy of undetermined significance (MGUS). It is now well documented that the maximum hypocalcemia (M delta CA) induced in man by... |
0 | Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR) | Coronavirus Disease 2019 (COVID-19) | Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR) On February 2020, Italy, especially the northern regions, was hit by an epidemic of the new SARS-Cov-2 coronavirus that spread from China between December 20... |
0 | Evaluation of the anterior cruciate ligament integrity and degenerative arthritic patterns in patients undergoing total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We prospectively reviewed 107 consecutive primary total knee arthroplasties performed over a 1-year period. Intraoperatively, the integrity of the anterior cruciate ligament (ACL), the characteristics of the intercondylar notch, and the patterns of cartilage wear were evaluated. The ACL was found to be deficient in 41 ... |
0 | An empirical Bayes method for studying variation in knee replacement rates | Surgical Management of Osteoarthritis of the Knee CPG | Knee replacement is the most commonly used surgical treatment for knee arthritis. It has been reported that knee replacement rates vary across both regions and counties. This paper used data from Medicare patients to develop explanations for the variation. One problem with our data is that we do not have patient level ... |
1 | Evaluation of the effectiveness and cost-effectiveness of lightweight fibreglass heel casts in the management of ulcers of the heel in diabetes: A randomised controlled trial | Hip Fx in the Elderly 2019 | Background: Ulcers of the foot in people with diabetes mellitus are slow to heal and result in considerable cost and patient suffering. The prognosis is worst for ulcers of the heel. Objective: To assess both the clinical effectiveness and the cost-effectiveness of lightweight fibreglass casts in the management of heel... |
1 | Complex limb reconstruction with simultaneous muscle transfer and circular external fixation | DoD LSA (Limb Salvage vs Amputation) | Introduction: Successful treatment of the mangled lower extremity can be very difficult. Management of large soft-tissue and bony defects is complex and are often treated with amputation. In carefully selected patients, limb salvage with combined muscle transfer and circular external fixation can be a safe and effectiv... |
0 | Upper extremity deep venous thrombosis after port insertion: What are the risk factors? | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: Totally implantable venous access devices (ports) are widely used, especially for cancer chemotherapy. Although their use has been associated with upper extremity deep venous thrombosis, the risk factors of upper extremity deep venous thrombosis in patients with a port are not studied adequately.
METHODS: T... |
0 | Ideal length of thread forms for screws used in screw fixation of nondisplaced femoral neck fractures | Hip Fx in the Elderly 2019 | BACKGROUND: It is common practice when placing cannulated screws within the femoral head when treating femoral neck fractures to avoid the thread-forms from crossing the fracture line. Despite the widespread use of cannulated screws in internal fixation of femoral neck fractures, there is no study to our knowledge that... |
0 | Current status of total joint replacement in the upper extremity | Surgical Management of Osteoarthritis of the Knee CPG | The principles ot total joint arthroplasty recently have been expanded to the upper extremity, following the dramatic success with total hip and total knee replacement procedures. New problems have been encountered with the rebalancing of the soft tissues and the technical nature of joint mechanics in the upper extremi... |
0 | Effect of a comprehensive rehabilitation nursing program on patients undergoing elbow arthrolysis | Pediatric Supracondylar Humerus Fracture 2020 Review | Objective: To investigate the effect of a comprehensive rehabilitation nursing program on patients undergoing elbow arthrolysis. Methods: Patients who received unilateral elbow arthrolysis in the Department of Orthopedics in Shanghai Sixth Peopleâ??s Hospital East Affiliated to Shanghai University of Medicine and Healt... |
0 | Study of the therapy of multiple myeloma monoclonal antibody | MSTS 2018 - Femur Mets and MM | This paper aims to discuss the initial clinical effect of treating bone defect of long bone osteomyelitis with Masquelet technology. A retrospective analysis was made among the recruited 25 patients with long bone osteomyelitis patients from April, 2013 to February 2014 from Henan Provincial People's Hospital. Clinical... |
1 | MRI of the knee joint with a 3-D gradient echo sequence. Equivalent to diagnostic arthroscopy? | Anterior Cruciate Ligament Injuries CPG | Three-dimensional (3-D) gradient echo sequences offer the advantage of volume imaging within a few minutes scanning time and creating thin contiguous slices. An optimized sequence (FISP 3D 40) was evaluated for its potential to detect lesions of the menisci, cruciate ligaments, and articular cartilage in 80 patients co... |
0 | Improving hip fracture care: Striving for excellence | Hip Fx in the Elderly 2019 | Hip fracture is a common and potentially devastating injury that occurs mainly in older people. The incidence is predicted to rise by 30% in the next 10 years alone. Many of those who recover suffer a loss of mobility and independence. There is growing emphasis to improve the care of patients sustaining hip fracture, e... |
0 | Total hip arthroplasty using direct anterior approach and dual mobility cup: safe and efficient strategy against post-operative dislocation | Developmental Dysplasia of the Hip 2020 Review | AIM: We hypothesize that a dual mobility cup can be safely used via the direct anterior approach, without increasing the risk of complications or incorrect positioning. MATERIALS AND METHODS: This retrospective study compared 201 primary total hip arthroplasties using a dual mobility cup performed via direct anterior a... |
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