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1 | Osteoporosis treatment following hip fracture: how rates vary by service | Management of Hip Fractures in the Elderly | OBJECTIVES: Osteoporosis is a prevalent condition among older people. It is often undiagnosed until patients suffer fragility fractures. Previous studies have shown low rates of initiating osteoporosis treatment during the acute hip fracture hospitalization. It is not clear if this varies by the treating service. We co... |
0 | Heart transplant program at IRCCS-ISMETT: Impact of mechanical circulatory support on pre- and post -transplant survival | Reconstruction After Skin Cancer | Background Heart transplantation (HTx) improves the quality of life and survival in patients affected by end-stage heart failure. The purpose of the current study is to present the patients' clinical data and results of HTx in a single Center of Sicily. Focus on survival after pre and post HTx mechanical circulatory su... |
0 | Electrospun PCL nanofibers blended with Wattakaka volubilis active phytochemicals for bone and cartilage tissue engineering | AMP (Acute Meniscal Pathology) | In the present study, the polycaprolactone (PCL) nanofibers were investigated as a carrier to deliver phytochemicals for bone and cartilage tissue engineering. The PCL nanofibers was blended with phytochemicals hexadecanoic acid, octadecanoic acid and N,N-diisopropyl (2,2,3,3,3-pentafluoropropyl) amine isolated from a ... |
1 | Torn discoid lateral meniscus is associated with increased medial meniscal extrusion and worse articular cartilage status in older patients | AMP (Acute Meniscal Pathology) | PURPOSE: To compare the clinical, imaging, and arthroscopic characteristics of the torn discoid lateral meniscus (TDLM) in patients greater than 40 years of age with matched controls.
METHODS: One hundred and ninety-four older patients (211 knees) who underwent arthroscopic surgery for a TDLM were consecutively recruit... |
0 | Better survival in patients with metastasised kidney cancer after nephrectomy: A population-based study in the Netherlands | MSTS 2022 - Metastatic Disease of the Humerus | Aim: Cytoreductive nephrectomy is considered beneficial in patients with metastasised kidney cancer but only a minority of these patients undergo cytoreductive surgery. Factors associated with nephrectomy and the independent effect of nephrectomy on survival were evaluated in this study. Methods: Patients were selected... |
0 | Distribution of Lower Limb Spasticity Does Not Influence Mobility Outcome Following Traumatic Brain Injury: An Observational Study | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: To examine the association between lower limb spasticity and mobility limitations following traumatic brain injury (TBI) and determine the influence of spasticity distribution on mobility outcomes following TBI. SETTING: A large metropolitan rehabilitation hospital. PARTICIPANTS: Ninety-three ambulant people... |
0 | Predicting the failure load of the distal radius | Distal Radius Fractures | The distal radius is an important site for the early detection of patients at risk for fracture. Since measuring bone strength in vivo is not possible, we evaluated which bone assessment method of the forearm would best predict failure load of the distal radius and computed a factor of risk for wrist fracture (Φwrist)... |
0 | Long-Term Results of a Monocentric Series of Soldiers After Latarjet Procedure for Anterior Shoulder Instability. Implications for the Assessment of Soldiers' Medical Ability | Glenohumeral Joint OA | Introduction: Stabilizing surgery of the shoulder with a coracoid graft according to Latarjet is a recognized surgical treatment for anterior instability of the shoulder. This pathology frequently affects soldiers. Postoperatively, the potential risk of recurrence or of secondary shoulder arthritis can limit the practi... |
0 | Follow-up treatment for osteoporosis after fracture | Management of Hip Fractures in the Elderly | Studies of the management of osteoporosis in older women who have had hip or wrist fractures have found underdiagnosis and undertreatment of the disease. Few such studies have been conducted in the United States, however, and most studies have been confined to a subset of the treatments currently available to treat ost... |
0 | The role of joint afferents in sensory processing in osteoarthritic knees | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To test the role of joint receptors for proprioception in patients with bilateral knee osteoarthritis (OA) and patients who had undergone unilateral total knee arthroplasty (TKA). METHODS: Nine patients were tested bilaterally with a conventional movement detection paradigm that evaluated conscious detection... |
1 | Total knee arthroplasty with limitations of flexion | Surgical Management of Osteoarthritis of the Knee CPG | Does total knee arthroplasty (TKA) increase mobility in stiff knees, where flexion is restricted due to degenerative changes associated with osteoarthritis, inflammatory disease, hemophilia, or post-traumatic sequelae also affecting soft tissue? The results of one hundred twenty eight TKA from five specialized centers ... |
0 | Poststroke Fractures in A Bi-ethnic Community | Management of Hip Fractures in the Elderly | BACKGROUND: Mexican Americans have increased risks of stroke and lower fractures compared with non-Hispanic whites, but little is known about poststroke fracture risk in Mexican Americans. The objective of this study was to describe poststroke fracture risk in a bi-ethnic population and to compare risk by ethnicity. ME... |
0 | Ruptured internal iliac artery aneurysm mimicking a hip fracture | Management of Hip Fractures in the Elderly | Internal iliac artery aneurysms are difficult to detect due to their wide range of clinical presentations. The mortality rate from ruptured internal aortic aneurysms is particularly high in part because of delayed diagnosis. This report reviews the management of a patient with a ruptured internal iliac artery aneurysm ... |
0 | Reduced bone mass in daughters of women with osteoporosis | Management of Hip Fractures in the Elderly | To determine whether premenopausal daughters of women with postmenopausal osteoporosis have lower bone mass than other women of the same age, we measured the bone mineral content of the lumbar spine and femoral neck and midshaft, using dual-photon absorptiometry, in 25 postmenopausal women with osteoporotic compression... |
0 | Bone metastases from a phaeochromocytoma in the dog | MSTS 2018 - Femur Mets and MM | Pheochromocytomas are rare in most animals and metastasis is uncommon. An account is given of the clinical and pathologic findings of a pheochromocytoma occurring in an 8-year-old male Alsatian, in which a pathological fracture of the right femur occurred as the result of metastasis of bone. |
0 | Factors affecting the incidence of infection in hip and knee replacement: an analysis of 5277 cases | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Infection remains a significant and common complication after joint replacement and there is debate about which contributing factors are important. Few studies have investigated the effect of the operating time on infection. We collected data prospectively from 5277 hip and knee replacements which included the type of ... |
0 | Efficacy and safety of strontium ranelate in the treatment of knee osteoarthritis: Results of a double-blind, randomised placebo-controlled trial | OAK 3 - Non-arthroplasty tx of OAK | Background: Strontium ranelate is currently used for osteoporosis. The international, double-blind, randomised, placebo-controlled Strontium ranelate Efficacy in Knee OsteoarthrItis triAl evaluated its effect on radiological progression of knee osteoarthritis. Methods: Patients with knee osteoarthritis (Kellgren and La... |
0 | Closed reduction and immobilization of displaced distal radial fractures. Method of choice for the treatment of children? | Distal Radius Fractures | PURPOSE: The therapy of distal radial fractures in children is expected to be as non-invasive as possible but also needs to deliver the definite care for gaining optimal reduction and stabilizing the fracture. Therefore, closed reduction and immobilization is competing with routine Kirschner wire fixation. The aim of o... |
0 | A minimally invasive medial approach for proximal tibial fractures | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Numerous techniques have been described for MIPPO (minimally invasive percutaneous plate osteosynthesis) for metaphyseal or combined metaphyseal-articular fractures of the proximal tibia. Surgical management is often complicated by the initial soft tissue damage, malalignment, remaining instability, or infection. In th... |
0 | Repair of scalp defects using a tissue expander and Marlex mesh | Acellular Dermal Matrix | A simple technique using Marlex mesh and a tissue expander to cover scalp defects is described and two patients are presented. This technique is suitable for medium-sized defects that cannot be closed primarily. Marlex mesh is sutured to the wound edges in lieu of a temporary skin graft and to prevent enlargement of th... |
0 | Massage therapy plus topical analgesic is more effective than massage alone for hand arthritis pain | Glenohumeral Joint OA | METHODS: 20 adults were randomly assigned to a massage therapy or a massage therapy plus a topical analgesic application group. Both groups received a weekly massage from a therapist and were taught self-massage (same procedure) to be done by each participant once daily over a four-week period.
RESULTS: The massage plu... |
0 | Total knee replacement delayed with hylan G-F 20 use in patients with grade IV osteoarthritis | AAHKS (4) Acetaminophen | Background: Total knee replacement (TKR), a last resort for treating knee pain due to osteoarthritis (OA), is not always medically indicated or preferred by many patients. Hylan G-F 20 is a cross-linked hyaluronan derivative approved for the treatment of pain due to OA of the knee after other conservative approaches ha... |
0 | Development of multifocal atrial tachycardia in a patient using aminophylline | Management of Hip Fractures in the Elderly | An 82-year-old female, with left femoral neck fracture was scheduled for left hip hemiarthroplasty, under spinal anaesthesia. She had been suffering from diabetes, hypertension, lung cancer and was previously treated with IV aminophylline for respiratory insufficiency. She was given spinal anaesthesia with 10 mg of 0.5... |
0 | Cemented total knee arthroplasty using a modern prosthesis in young patients with osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | Fifty-two consecutive cemented total knee arthroplasties were performed using the Press-Fit Condylar (DePuy, Warsaw, Ind) knee system on patients aged 55 years or younger at Mayo Clinic Rochester from 1988 to 1994. Patients were followed for a minimum of 10 years, with an average follow-up of 12 years (range, 10-15 yea... |
0 | Ultrastructural observations on the basal lamina in the normal human breast | Reduction Mammoplasty for Female Breast Hypertrophy | The ultrastructure of the basal lamina of histologically normal human breast tissue was determined in 19 women undergoing operations for removal of a fibroadenoma or reduction mammoplasty. The day of the menstrual cycle was determined by hormone assay and direct questioning. Previously documented ultrastructural appear... |
0 | Renal Allograft Compartment Syndrome: Is It Possible to Prevent? | DOD - Acute Comp Syndrome CPG | Renal allograft compartment syndrome (RACS) is a complication characterized by increased pressure over 15 to 20 mm Hg of the iliac fossa site of transplanted kidney that can lead to a reduction of the blood supply to the graft, resulting in organ ischemia. This study aims to evaluate, through a review of the literature... |
0 | Pain mechanisms in osteoarthritis of the knee: effect of intraarticular anesthetic | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The causes of pain in osteoarthritis (OA) remain unclear. We examined the effect of intraarticular (IA) local anesthetic (LA) on pain perception in OA knee to test the hypothesis that pain arises from structures in contact with the intraarticular surface. The effect of intervention on one knee on perception ... |
0 | Esophagectomy for advanced malpighian cancer of the thoracic esophagus. Esogastric anastomosis in the neck or in the thorax? Late results of a "randomized" prospective study | Reconstruction After Skin Cancer | During a 2 1/2 year period, 60 consecutive patients with cancer of the thoracic esophagus were randomized to undergo cervical (CA) or thoracic (TA) esophago-gastrostomy. The tumors were staged post-operatively and were almost equally distributed between the two groups. The esophageal specimens were macroscopically stud... |
1 | Influence of medial meniscectomy on tibiofemoral joint space width | AMP (Acute Meniscal Pathology) | OBJECTIVE: The aim of this study was to evaluate the influence of partial medial meniscectomy on tibiofemoral joint space width (JSW).
DESIGN: Thirty-seven patients (mean age: 51 years), suffering from medial meniscal lesions, (post-traumatic (n=22) or degenerative (n=15)), and requiring arthroscopic partial meniscecto... |
1 | An analysis of virtual fracture clinics in orthopaedic trauma in the UK during the coronavirus crisis | Coronavirus Disease 2019 (COVID-19) | Virtual fracture clinics (VFC) are advocated by new orthopaedic (British Orthopaedic Association) and National Health Service (NHS) guidelines in the United Kingdom. We discuss benefits and limitations, reviewing the literature, as well as recommendations on introducing a VFC service during the coronavirus pandemic and... |
0 | Diagnostic value of sonography and MRI in ulnar nerve entrapment in the elbow | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Introduction: Ulnar neuropathy is the second most common neuropathy after carpal tunnel syndrome. The aim of this study was to determine the sensitivity and specificity of sonography and MRI at diagnosis of ulnar nerve entrapment in the elbow (UNE). Methods: Prospectively 25 patients (29 elbows) enrolled with UNE. Pati... |
0 | Intraarticular fractures of the distal radius: A cadaveric study to determine if ligamentotaxis restores radiopalmar tilt | Distal Radius Fractures | Nineteen fresh cadaver wrists were divested of all dorsal and palmar tissues to the wrist capsule and extrinsic and intrinsic ligaments. A Frykman VII type fracture was established across the radiocarpal and radioulnar joints. The dorsal and palmar wrist ligaments were left intact. The forearms were stabilized in an ar... |
0 | A randomized controlled trial of estrogen replacement therapy in long-term users of depot medroxyprogesterone acetate | Management of Hip Fractures in the Elderly | Long-term use of the injectable contraceptive depot medroxyprogesterone acetate (DMPA, Depo-Provera) is associated with a reduction in bone mineral density (BMD), particularly in the lumbar spine. The cause of DMPA-associated bone loss is not known, but the relative estrogen deficiency induced by DMPA use could be resp... |
0 | Modes of failure in metal-on-metal total hip arthroplasty | PJI DX Updated Search | Use of large-head metal-on-metal (MoM) bearing surfaces in total hip arthroplasty (THA) has created new and unique modes of failure for this type of articulation. These unique modes are in addition to the traditional modes of failure seen in conventional THA, which include instability, osteolysis, infection, iliopsoas ... |
0 | Malnutrition increases the 30-day complication and re-operation rates in hip fracture patients treated with total hip arthroplasty | Hip Fx in the Elderly 2019 | Introduction: This study sought to determine the effect that malnutrition, defined as hypoalbuminemia, has on hip fracture patients treated with total hip arthroplasty (THA). Specifically, we evaluated: (1) demographics and perioperative data; (2) postoperative complications; and (3) re-operation rates. Methods: The Na... |
0 | Diagnostic agreement of combined radiogrammetric analysis with texture analysis in the evaluation of bone density: a comparison with dual energy X-ray absorptiometry | Distal Radius Fractures | To assess the reliability and validity of combined radiogrammetric analysis with texture analysis (digital X-ray radiogrammetry: DXR) of metacarpals and distal forearm when compared to dual energy X-ray absorptiometry (DXA) of the distal radius. DXA readings from the supradistal and distal 1/10 of radius were compared ... |
0 | Surgical treatment of extra-articular distal-third diaphyseal fractures of the humerus using a modified posterior approach and an extra-articular plate | Distal Radius Fractures | PURPOSE: To evaluate the clinical and radiological outcomes of these fractures treated through a modified posterior approach with a distal humerus plate.
MATERIAL AND METHODS: Between 2013 and 2015 we performed a retrospective study of these fractures surgically treated in our centre.
INCLUSION CRITERIA: older than 18 ... |
0 | Bone scintigraphy in detection of bone invasion by oral carcinoma | MSTS 2018 - Femur Mets and MM | Detecting osseous involvement is clinically important in the management of oral carcinoma. Thirty-one patients with osseous involvement due to oral carcinoma who underwent panoramic radiography and bone scintigraphy were evaluated retrospectively. Bone scintigraphy confirmed osseous involvement in all 31 (100%) of thes... |
0 | Traumatic avulsion fracture of the ischial tuberosity in an elderly patient | Management of Hip Fractures in the Elderly | We present a case of avulsion of a large fragment of the ischial tuberosity in an elderly lady, caused by an extreme abduction of the hip. To our knowledge such an injury has not yet been described in the elderly. The decision to operate was based on the reported experience with this injury in young individuals. We ass... |
1 | A randomised controlled trial of the clinical effectiveness and cost-effectiveness of different knee prostheses: the Knee Arthroplasty Trial (KAT) | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: In the late 1990s, new developments in knee replacement were identified as a priority for research within the NHS. The newer forms of arthroplasty were more expensive and information was needed on their safety and cost-effectiveness. OBJECTIVES: The Knee Arthroplasty Trial examined the clinical effectivenes... |
1 | Distal forearm fractures: the analytical approach for treatment | Distal Radius Fractures | Although distal radius fractures are in the centre of orthopedic surgeons' attention, the rate of unsatisfactory treatment results remains very high. This study evaluates the analytical approach to distal radius fracture treatment. We observed 59 patients divided into 4 groups according to a modified Fernandez classifi... |
0 | Percutaneous and limited open fixation of fractures of the distal radius | Distal Radius Fractures | Percutaneous and limited open fixation of fractures of the distal radius is an important method of treatment for many unstable fractures such as unstable dorsal bending fractures, shearing fractures of the radial styloid and lunate facet, and simple articular fractures. The quality of the reduction is monitored with im... |
0 | Suction mammaplasty: the use of suction lipectomy alone to reduce large breasts | Panniculectomy & Abdominoplasty CPG | Procedures that minimize the resultant scars while achieving comparable results are preferred by patients and greatly enhance their overall satisfaction. Suction mammaplasty--and indeed all short-scar procedures that are performed on the breast, face, and body--rely to variable degrees on harnessing the under-appreciat... |
0 | Silibinin: An old drug for hematological disorders | MSTS 2018 - Femur Mets and MM | Introduction: Silibinin (silybin), a non-toxic natural polyphenolic flavonoid, is the principal and the most biologically active component of silymarin. It is efficient in the treatment of acute and chronic liver disorders caused by toxins, drug, alcohol, hepatitis, and gall bladder disorders. Further, in our previous ... |
1 | Neuroaxial versus general anaesthesia in geriatric patients for hip fracture surgery: does it matter? | Management of Hip Fractures in the Elderly | The influence of the mode of anaesthesia on outcome of geriatric patients with hip fractures is a controversial issue in the medical literature. In the light of an ageing society, a conclusive answer to this question is of growing importance. The purpose of this review was to assess the effect of neuroaxial and general... |
0 | Waveform analysis of compound nerve action potentials: A computer simulation | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A compound nerve action potential (CNAP) recorded from surface of the skin is composed of single nerve fiber action potentials propagating at various conduction velocities (CVs). Based on this assumption, we constructed two |
1 | High tibial osteotomy. A prospective clinical and roentgenographic review | Non-Arthroplasty Treatment of Osteoarthritis of the Knee AUC | In a prospective clinical and roentgenographic analysis of 79 knees treated by a valgus closing wedge high tibial osteotomy, the average follow-up period was 5.8 years (three to nine years); 80% of the patients had good or excellent results. Correction to a femorotibial angle between 6 degrees and 14 degrees of femorot... |
0 | Continuous intra-articular infusion of bupivacaine for postoperative pain following total knee arthroplasty | AAHKS (4) Acetaminophen | This study assessed the efficacy of local, continuous infusion of bupivacaine for pain control following total knee arthroplasty. Eleven men and 19 women with an average age of 65 years (range: 43-83 years) randomly received either 0.25% bupivacaine or normal saline by local infusion pump. Standard wound drainage also ... |
1 | Pre-discharge rehabilitation after hip surgery reduces 30-day readmissions in older adults: National Health Insurance Serviceâ??Senior Cohort (2007â??2012) | DoD PRF (Psychosocial RF) | Background Rehabilitation programs before and after hip surgery can shorten the length of hospital stay, reduce the incidence of complications, and reduce the readmission rate after surgery in older adults aged 65 years or over. The present study aimed to investigate the status of readmissions within 30 days after disc... |
0 | Smoldering, asymptomatic stage 1, and indolent myeloma | MSTS 2018 - Femur Mets and MM | Of patients presenting with multiple myeloma, 5% to 15% satisfy criteria for the diagnosis of multiple myeloma but have no or minimal symptoms and do not require chemotherapy (NRC). These patients are classified as having smoldering, asymptomatic stage 1, or indolent multiple myeloma in order of their increasing risk o... |
1 | A randomized study of the compression hip screw and Gamma nail in 426 fractures | Management of Hip Fractures in the Elderly | A prospective, randomized study comparing the compression hip screw with the Gamma nail in the treatment of 426 intertrochanteric fractures is reported. The median patient age was 80 years, and 71% were women The compression hip screw operation took less time except in Evans Type 5 fractures. Blood loss generally was l... |
0 | Beyond the vernacular: New sources of cells for bone tissue engineering | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Recent developments in stem cell biology have led to the discovery of new sources of adult stem cells with potential for osteogenic differentiation. METHODS: In this article, the authors review the active field of research into new cell sources that are being investigated for use in bone tissue engineering.... |
0 | Minimal-invasive stabilization of anterior pelvic ring fractures with retrograde transpubic screws | Hip Fx in the Elderly 2019 | Background: In the vast majority of patients with pelvic ring lesions, there is a combination of fractures of the posterior and anterior pelvic ring. Anterior fractures are painful and contribute to loss of stability of the pelvic ring. For these reasons, stabilization of pubic rami fractures is recommended together wi... |
1 | Bone Metastases from Thyroid Carcinoma of Follicular Origin: A Single Institutional Experience | MSTS 2018 - Femur Mets and MM | Background/Aims: Overall, 2-13% of patients with thyroid cancer develop bone metastases (BM). In addition to decreased survival, patients with BM may present skeletal-related events (SRE) that impair the quality of life. Our objectives were to characterize clinical features, treatment approaches, and outcomes of patien... |
0 | Referrals from a primary care-based sports medicine department to an orthopaedic department: a retrospective cohort study | Surgical Management of Osteoarthritis of the Knee CPG | OBJECTIVE: To describe the impact of an expanded primary care-based sports medicine clinic on referrals to an orthopaedics clinic and to describe the patients seen and procedures performed. DESIGN: Retrospective cohort study. SETTING: Primary care-based sports medicine clinic and orthopaedics clinic at a tax-supported ... |
0 | Treatment of multiple myeloma | MSTS 2018 - Femur Mets and MM | The treatment of multiple myeloma has changed dramatically in the past decade. The increase in the number of active agents has generated numerous possible drug combinations that can be used in the first-line and relapsed settings. As a result, there is considerable confusion about the choice of regimens for initial the... |
0 | Fractures of the femoral head: a long-term follow-up study | Management of Hip Fractures in the Elderly | The femoral head fracture has become an increasingly frequent injury, usually sustained by individuals during high-energy trauma. Regardless of the type of treatment, long-term consequences, as avascular necrosis, post-traumatic arthritis, and heterotopic ossification, may complicate the clinical outcome leading to var... |
0 | Assessing the relationship of the peroneal nerve to the posterolateral corner of the knee and influence of race on its dimensions– A MRI based study in Indian population | AMP (Acute Meniscal Pathology) | Background: The relationship of Common peroneal nerve (CPN) to the posterolateral corner of the knee joint is important for surgeons who perform total knee arthroplasty to avoid injury to the nerve during surgery. This relationship varies among different races on account of anthropometry. This study aims to evaluate th... |
0 | Musculoskeletal Atrophy in an Experimental Model of Knee Osteoarthritis: The Effects of Exercise Training and Low-Level Laser Therapy | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The aim of this study was to evaluate the effects of an exercise training protocol and low-level laser therapy (and the association of both treatments) on musculoskeletal atrophy using an experimental model of knee osteoarthritis (OA). DESIGN: Fifty male Wistar rats were randomly divided into five groups: co... |
0 | A Biomechanical and Structural Comparison of Articular Cartilage and Subchondral Bone of the Glenoid and Humeral Head | Glenohumeral Joint OA | Background: The underlying cause of glenohumeral arthritis is poorly understood. Glenohumeral arthrosis patterns have been classified and described, and differential contact stresses within the joint have been implicated as a cause of joint degeneration, but the intrinsic cause of degeneration patterns in the glenohume... |
0 | From fear to resilience: adolescents' experiences of violence in inner-city Johannesburg, South Africa | DoD PRF (Psychosocial RF) | BACKGROUND: For adolescents growing up in poor urban South African settings, violence is often a part of daily life and has lasting effects on physical and mental health outcomes in adulthood. We conducted a qualitative study to document and understand the forms of interpersonal violence experienced by adolescents livi... |
0 | Advancements in temporomandibular joint total joint replacements (TMJR) | OAK 3 - Non-arthroplasty tx of OAK | The goal of this paper is to review the advantages and disadvantages of the various treatment options of temporomandibular joint (TMJ) total joint replacement (TJR). TMJ articles published within the last 20Â years were reviewed to collect the information on non-invasive and invasive TMD treatment methods. Recent techn... |
0 | Disentangling the adult attention-deficit hyperactivity disorder endophenotype: parametric measurement of attention | Upper Eyelid and Brow Surgery | Attention deficit hyperactivity disorder (ADHD) persists frequently into adulthood. The decomposition of endophenotypes by means of experimental neuro-cognitive assessment has the potential to improve diagnostic assessment, evaluation of treatment response, and disentanglement of genetic and environmental influences. W... |
0 | Fracture of the unresurfaced patella after total knee arthroplasty: a report of two cases | Surgical Management of Osteoarthritis of the Knee CPG | Patellar fractures are unusual in total knee arthroplasty without patellar resurfacing. We present 2 such cases that occurred within postoperative 2 months and were managed conservatively. Both patients had their knee function preserved |
0 | A decision analysis of the effect of avoiding axillary lymph node dissection in low risk women with invasive breast carcinoma | MSTS 2018 - Femur Mets and MM | BACKGROUND: Evidence that avoiding axillary lymph node dissection (AxD) strikes an appropriate balance between morbidity and recurrence risk in patients with invasive breast carcinoma generally is anecdotal and without a formally quantified basis. The current study presents a decision analysis of the difference in 5-ye... |
0 | [Advanced skull defect repair] | Acellular Dermal Matrix | It is presented case report of successful repair of advanced combined defect of parietal-temporal-occipital scalp over one-half of skull vault with an excellent cosmetic result. To do this, the authors used a staged expander dermal tension, i.e. repeated stretching of the remaining scalp tissues combined with craniopla... |
0 | Comparison of Polypropylene and Bioabsorbable Mesh for Abdominal Wall Reinforcement following Microsurgical Breast Reconstruction | Acellular Dermal Matrix | BACKGROUND: Abdominal wall morbidity following microvascular breast reconstruction continues to be an area of interest due to both functional and aesthetic concerns. Donor-site closure technique has been shown to affect bulge and hernia rates and ranges from primary closure to various uses of mesh. Few studies to date... |
0 | An audit of prophylactic antibiotic prescribing patterns in orthopaedic practice | DoD SSI (Surgical Site Infections) | As part of the regular monthly audit of orthopaedic practice in Sheffield the prescribing patterns of orthopaedic surgeons were evaluated by questionnaire. Staff questioned were consultant orthopaedic surgeons and surgeons in training. The questionnaire depicted two areas of prophylactic antibiotic use: prescribing pat... |
1 | Obesity has no adverse effect on the outcome of unicompartmental knee replacement at a minimum follow-up of seven years | Surgical Management of Osteoarthritis of the Knee CPG | The significance of weight in the indications for unicompartmental knee replacement (UKR) is unclear. Our hypothesis was that weight does not affect the long-term rate of survival of UKRs. We undertook a retrospective study of 212 UKRs at a mean follow-up of 12 years (7 to 22). The patients were distributed according t... |
1 | Treatment of distal tibial fractures: prospective comparative study evaluating two surgical procedures with investigation for predictive factors of unfavourable outcome | DoD SSI (Surgical Site Infections) | PURPOSE: The aim of this study is to compare clinical and radiological outcome of intramedullary nailing (IMN) and locked plate (LP) in patients affected by fracture of the distal tibia (DTF). We performed also an analysis to identify predictive factors of unfavourable outcome.
METHODS: Data about patients with DTF tre... |
0 | A validation study of the New Zealand score for hip and knee surgery | Surgical Management of Osteoarthritis of the Knee CPG | In the absence of consensus over criteria for performing total knee arthroplasty, the variability of symptom burden, and limited resources, some ways to prioritize whether and when to treat would be useful. In the UK, some payers use the New Zealand score to determine access to an orthopaedic surgeon despite limited va... |
0 | Clinical outcome and patient satisfaction with the use of bovine-derived acellular dermal matrix (SurgiMend) in implant based immediate reconstruction following skin sparing mastectomy: A prospective observational study in a single centre | Reduction Mammoplasty for Female Breast Hypertrophy | INTRODUCTION: The advent of acellular dermal matrix devices (ADMs) has enhanced both the scope of implant-based immediate breast reconstruction (IBR) following skin sparing mastectomy (SSM) for the treatment or risk reduction of breast cancer. Currently, there are a wide range of options available for the use of ADMs. ... |
1 | A comparison of three techniques (local anesthetic deposited circumferential to vs. above vs. below the nerve) for ultrasound guided femoral nerve block | Hip Fx in the Elderly 2019 | BACKGROUND: Fractured neck of femur generally requires operative fixation and is a common cause of admission to hospital. The combination of femoral nerve block and spinal anesthesia is a common anesthetic technique used to facilitate the surgical procedure. The optimal disposition of local anesthetic (LA) relative the... |
0 | Endoscopic carpal tunnel release | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | The aspects of various techniques for endoscopic carpal tunnel release, including the Chow technique, the Japanese technique, and the Agee technique, are reviewed. Anesthesia, portal placement, and ligament cutting techniques are considered. Clinical results, complications, and long-term outcomes of the Chow technique ... |
0 | The Mediolateral Excursion of the Meniscal Bearing during Flexion and Extension of the Knee after Medial Mobile-Bearing Unicompartmental Knee Arthroplasty | AMP (Acute Meniscal Pathology) | This mediolateral excursion of the bearing during knee motion is supposed to be caused by external rotation of the tibia during knee extension. However, to our knowledge, there is no published clinical evidence supporting these hypotheses. The current study aimed to evaluate the mediolateral excursion of the bearing du... |
0 | Depression, anxiety and loss of resilience after multiple traumas: An illustration of a mediated moderation model of sensitization in a group of children who survived the Nazi Holocaust | DoD PRF (Psychosocial RF) | Background Depressive and anxiety disorders (DAD) have become a major public health problem. Multiple trauma is known to increase the risk of DAD through a sensitization mechanism. We investigate the hypothesis that resilience is a mediator of this mechanism. Methods Former Hidden Children (FHC), the Jewish youths who ... |
1 | Meniscal allograft transplantation in the paediatric population: early referral is justified | AMP (Acute Meniscal Pathology) | PURPOSE: The need for meniscal allograft transplantation (MAT) in children is rare, and as a result, there is a paucity of evidence detailing survivorship and clinical outcome. MAT has been shown to significantly reduce pain and improve function in the adult population. The aim of this study was to document the outcome... |
0 | Intra-articular correction of extra-articular tibial deformities with total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | INTRODUCTION: Extra-articular leg deformities may occur in the femur or tibia from mal-unions from previous trauma or metabolic bone disease. Secondary osteoarthritis at the knee occurs due to loss of mechanical alignment of the limb. At surgery for total knee arthroplasty, mechanical alignment can be restored intra-ar... |
0 | Circumferential torsoplasty | Panniculectomy & Abdominoplasty CPG | Abdominoplasty procedures are often unsatisfactory in correcting body deformities remaining after massive weight loss. Lateral flanks, hip rolls and buttock ptosis need also to be addressed surgically. To achieve a more noticeable improvement in body contour, a circumferential torsoplasty procedure was performed in 30 ... |
0 | Beneficial effects of coculturing synovial derived mesenchymal stem cells with meniscus fibrochondrocytes are mediated by fibroblast growth factor 1: increased proliferation and collagen synthesis | AMP (Acute Meniscal Pathology) | Meniscus reconstruction is in great need for orthopedic surgeons. Meniscal fibrochondrocytes transplantation was proposed to regenerate functional meniscus, with limited donor supply. We hypothesized that coculture of synovial mesenchymal stem cells (SSC) with meniscal fibrochondrocytes (me-CH) can support matrix produ... |
0 | Arthrogryposis and fetal hypomobility syndrome | Pediatric Supracondylar Humerus Fracture 2020 Review | Arthrogryposis is a heterogeneous condition, evident from birth, which can be defined as multiple contractures of the joints. The etiology is multifold: genetic disorders of the central or peripheral nervous system, or of the connective tissue leading to decreased fetal movements, and vascular and environmental causes.... |
0 | Coagulation and thrombosis in cardiovascular disease: plausible contributions of infectious agents | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | An occlusive thrombus in the coronary arteries is the critical pathological event that immediately precedes most cases of myocardial infarction. Often the thrombus originates with a bleed from a fissured atheroma. Atheroma formation, therefore, creates risk of thrombosis; asymptomatic episodes of thrombosis and healing... |
1 | Correlation between complication rate and perioperative risk-factors in superior pedicle reduction mammaplasty: our experience in 127 patients | Reduction Mammoplasty for Female Breast Hypertrophy | Reduction mammaplasty, one of the most common plastic surgery procedures, has been shown to confer significant sustained health benefits for patients with symptomatic breast enlargement providing a remedy for back, neck, and shoulder pain. Unfortunately, operations of breast reduction may lead to patient dissatisfactio... |
0 | Skeletal fixation of grade IIIB tibial fractures. The potential of metaanalysis | DoD SSI (Surgical Site Infections) | Contemporary management of Grade IIIB open tibial fractures has evolved to include intravenous antibiotics, thorough interval surgical debridement, rigid skeletal fixation, early local or free tissue myoplasty, and liberal use of autogenous bone graft beneath a clean, stable wound. External fixation has been the skelet... |
1 | Reduction mammaplasty using the free-nipple-graft vertical technique for severe breast hypertrophy: improved outcomes with the superior dermaglandular flap | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Management of severe mammary hypertrophy is a challenge. The limitations of most dermal pedicle techniques include insufficient breast projection with severe hypertrophy. The authors have designed a free-nipple-graft vertical technique with a superior demaglandular flap to provide acceptable breast projecti... |
0 | Effect of pathologic fractures on survival in multiple myeloma patients: A case control study | MSTS 2018 - Femur Mets and MM | Background. Multiple Myeloma (MM) is a B cell neoplasm characterized by the clonal proliferation of plasma cells. Skeletal complications are found in up to 80% of myeloma patients at presentation and are major cause of morbidity. Methods. 49 patients were enrolled with MM admitted to Black Sea Technical University Hosp... |
0 | Urinary excretion of pyridinium crosslinks of collagen in patients with osteoporosis and the effects of bone fracture | Management of Hip Fractures in the Elderly | Values for the urinary excretion of pyridinium crosslinks of collagen, pyridinoline and deoxypyridinoline, in a group of 30 elderly women with femoral fractures associated with osteoporosis and a group of 20 women without recent fracture but with overt or suspected osteoporosis were compared with 27 control subjects ma... |
1 | Late hematogenous infection of total joint replacement | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Late deep wound infection secondary to hematogenous spread of bacteria from a distant focus is an infrequent but devastating complication of total joint replacement. Nine patients (ten implants) with documented late hematogenous infection are reported, all of whom demonstrated several characteristic features. The initi... |
0 | COL1A1 haplotypes and hip fracture | Management of Hip Fractures in the Elderly | Fragility fractures resulting from low-trauma events such as a fall from standing height are associated with osteoporosis and are very common in older people, especially women. Three single nucleotide polymorphisms (SNPs) at the COL1A1 gene (rs1107946, rs11327935, and rs1800012) have been widely studied and previously ... |
0 | Eyelid motor abnormalities in progressive supranuclear palsy | Upper Eyelid and Brow Surgery | Eyelid motor abnormalities found in progressive supranuclear palsy are reviewed. Electrophysiological correlates of blepharospasm, levator inhibition (blepharokolysis) and supranuclear paralysis of lid closure are presented. Disorders of eyelid motility are not uncommon in progressive supranuclear palsy (PSP). They may... |
0 | Development of an upper limb patient simulator for physical therapy exercise | Pediatric Supracondylar Humerus Fracture 2020 Review | Physical therapist plays an important role to help people to regain the social life from disease and physical handicap. However, they can obtain their skills only from their practical experiences. The physical therapist trainee can enrich is experience only from the clinical practical training and this opportunity is l... |
0 | Antibiotic-impregnated autogenic cancellous bone grafting is an effective and safe method for the management of small infected tibial defects: a comparison study | DoD SSI (Surgical Site Infections) | OBJECTIVE: Bone grafting plays an important role in reconstructing infected tibial nonunions. The effects of antibiotic-impregnated bone grafting in infection elimination and bone incorporation was reported in this retrospective study.
METHODS: Ninety-six patients treated for infected tibial nonunions were evaluated. T... |
0 | The effectiveness of physiotherapist-delivered group education and exercise interventions to promote self-management for people with osteoarthritis and chronic low back pain: A rapid review Part I | SR for PM on OA of All Extremities | BACKGROUND: Osteoarthritis (OA) and chronic low back pain (CLBP) are two of the most common and costly musculoskeletal conditions globally. Healthcare service demands mean that multiple condition group-based interventions are of increasing clinical interest, but no reviews have evaluated the effectiveness of group-base... |
1 | Does open reduction and pinning affect outcome in severely displaced supracondylar humeral fractures in children? A systematic review | Pediatric Supracondylar Humerus Fracture 2020 Review | Supracondylar fracture of the humerus is the second most common fracture in children (16.6%) and the most common elbow fracture. These fractures are classified using the modified Gartland classification. Type III and type IV are considered to be totally displaced. A totally displaced fracture is one of the most difficu... |
1 | Analysis of the occurrence of deep venous thrombosis in lower extremity fractures: A clinical study | DoD PRF (Psychosocial RF) | Objective: To clarify if fracture site is correlated to the occurrence of deep venous thrombosis, and determine the risk factors of deep venous thrombosis in lower extremity fractures, help surgeons make prophylaxis for the disease correctly. Methods: The patients with lower extremity fractures treated surgically in th... |
0 | Knee injury patterns in young Irish dancers | Osteochondritis Dissecans 2020 Review | OBJECTIVE: To characterize knee injury patterns in Irish dancers. METHODS: A retrospective chart review was performed for Irish dancers under age 19 who presented with knee injuries to the sports medicine or orthopedic clinic from January 1, 2000 to December 31, 2010. Data were collected on all knee injuries partially ... |
0 | Responsiveness of the Michigan Hand Outcomes Questionnaire and physical measurements in outcome studies of distal radius fracture treatment | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | PURPOSE: Outcomes study of distal radius fracture (DRF) treatment has been hampered by an uncertainty regarding the most appropriate outcomes assessment tool to evaluate the effectiveness of treatment. This study aimed to measure the responsiveness of the Michigan Hand Outcomes Questionnaire (MHQ) and physical measurem... |
1 | Visual analogue scale and the analysis of analgesic action | AMP (Acute Meniscal Pathology) | A double-blind randomized trial was carried out in 90 male patients suffering from pain after meniscectomy. The patients received a single dose of paracetamol 1000 mg plus codeine 60 mg, paracetamol 1000 mg, codeine 60 mg, or placebo. The tablets were taken when needed after surgery and the postoperative pain was recor... |
0 | A non-invasive, home-based biomechanical therapy for patients with spontaneous osteonecrosis of the knee | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND: The purpose of the current study was to examine the effect of a non-invasive, home-based biomechanical treatment program for patients with spontaneous osteonecrosis of the knee (SONK).
METHODS: Seventeen patients with SONK, confirmed by MRI, participated in this retrospective analysis. Patients underwent a ... |
0 | The long-term durability of plication of the anterior rectus sheath assessed by ultrasonography | Panniculectomy & Abdominoplasty CPG | The purpose of this study was to assess the long-term durability of a standard vertical plication of the anterior rectus sheath. For this purpose, 70 women who had undergone this procedure as part of an abdominoplasty were sent a questionnaire, their records were studied, and they were invited back to the clinic for an... |
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