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0 | A comparison of the transtibial pullout technique and all-inside meniscal repair in medial meniscus posterior root tear: Prognostic factors and midterm clinical outcomes | Osteochondritis Dissecans 2020 Review | INTRODUCTION: There is a paucity of comparative clinical data between arthroscopic all-inside end-to-end meniscal root suture and transtibial pullout technique in medial meniscus posterior root tears (MMPRT). Therefore, this study aimed to compare treatment failure, mid-term clinical and radiological outcomes of all-in... |
0 | Effects of Comprehensive Care for Knee OA | OAK 3 - Non-arthroplasty tx of OAK | Anticipating trends toward generalism in medicine, the rheumatology community has begun to set forth guidelines for managing osteoarthritis (OA). These guidelines emphasize a comprehensive approach toward nondrug treatment (e.g., patient education, exercise, social support) and a conservative approach to drug managemen... |
1 | Developmental dysplasia of the hip: nursing implications and anticipatory guidance for parents | Developmental Dysplasia of the Hip CPG | Developmental dysplasia of the hip (DDH) is a comprehensive term used to describe an abnormal relationship between the femoral head and the acetabulum. Developmental dysplasia of the hip includes a very wide spectrum of abnormality from a frank dislocation (very unstable) to a stable hip with a slightly shallow acetabu... |
0 | Asian ethnicity and the prevalence of metabolic syndrome in the osteoarthritic total knee arthroplasty population | Surgical Management of Osteoarthritis of the Knee CPG | Metabolic syndrome (MS) is a known risk factor for the development of osteoarthritis (OA). We asked whether the prevalence of MS varies across ethnicity among patients who undergo total knee arthroplasty for end-stage OA. In our population of 1460 patients undergoing primary knee arthroplasty, MS was defined as body ma... |
1 | Do Outcomes of Osteochondral Allograft Transplantation Differ Based on Age and Sex? A Comparative Matched Group Analysis | AMP (Acute Meniscal Pathology) | BACKGROUND: The effect of patient age or sex on outcomes after osteochondral allograft transplantation (OCA) has not been assessed.
PURPOSE: To determine clinical outcomes for male and female patients aged >=40 years undergoing OCA compared with a group of patients aged <40 years.
STUDY DESIGN: Cohort study; Level of e... |
0 | Mirror therapy, graded motor imagery and virtual illusion for the management of chronic pain | SR for PM on OA of All Extremities | This is the protocol for a review and there is no abstract. The objectives are as follows:To examine the efficacy of mirror therapy, graded motor imagery, and virtual illusion for improving pain and function levels in chronic pain states, including, but not limited to, chronic regional pain syndrome, phantom limb pain ... |
0 | Immunohistochemical and other features of breast carcinomas presenting clinically compared with those detected by cancer screening | MSTS 2018 - Femur Mets and MM | Features of 111 mammary carcinomas derived from breast cancer screening were compared with those of 69 carcinomas presenting 'clinically'. Screen detected cancers were smaller, had less likelihood of nodal metastases, included a higher proportion of in situ tumours and if invasive, tended to be of lower grade. Using im... |
0 | Is a short arm cast appropriate for stable distal radius fractures in patients older than 55 years? A randomized prospective multicentre study | Distal Radius Fractures | We conducted a prospective randomized, multicentre study to compare short arm and long arm plaster casts for the treatment of stable distal radius fracture in patients older than 55 years. We randomly assigned patients over the age of 55 years who had stable distal radius fracture to either a short arm or long arm plas... |
0 | Definition of ideal configuration for femoral neck screw fixation in older people | Hip Fx in the Elderly 2019 | Femoral neck fractures are the most common injuries encountered by older individuals, and they are associated with high mortality and morbidity. Internal fixation to femoral neck fracture with cannulated screws placed with a configuration of an inverted triangle remain a feasible and effective treatment for femoral nec... |
1 | Population-based, inception cohort study of the incidence, course, and prognosis of mild traumatic brain injury after motor vehicle collisions | DoD PRF (Psychosocial RF) | Objective To determine the incidence, course, and prognosis of adult mild traumatic brain injury (MTBI) caused by motor vehicle collisions. Design Prospective, population-based, inception cohort study. Setting The province of Saskatchewan, Canada, with a population of about 1,000,000 inhabitants. Participants All adult... |
1 | Extramedullary fixation of 107 subtrochanteric fractures: a randomized multicenter trial of the Medoff sliding plate versus 3 other screw-plate systems | Management of Hip Fractures in the Elderly | We compared the efficacy of a load-sharing device, the Medoff sliding plate (MSP), with that of 3 other load-bearing screw-plate devices for the fixation of subtrochanteric fractures in a randomized multicenter trial of 107 elderly patients. 55 fractures were operated on with the MSP, and 52 with the dynamic hip screw ... |
0 | Characteristics of clinical measurements between biomechanical responders and non-responders to a shoe designed for knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: The purpose of this study was to investigate the characteristics of biomechanical and clinical measurements in relation to the knee adduction moment when wearing a standard shoe and a shoe design for individuals with knee osteoarthritis (Flex-OA).
METHODS: Kinematic and kinetic data were collected from thirty-... |
0 | 3-Tesla Magnetic Resonance Imaging Evaluation of Posterior Tibial Tendon Dysfunction with Relevance to Clinical Staging | PRP (Platelet-Rich Plasma) | The posterior tibial tendon (PTT) is the most important dynamic stabilizer of the medial ankle and longitudinal arch of the foot. PTT dysfunction is a degenerative disorder of the tendon, which secondarily involves multiple ligaments, joint capsules, fascia, articulations, and bony structures of the ankle, hindfoot, mi... |
0 | The effectiveness of sensory re-education in idiopathic carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Purpose: The purpose of this study was to investigate the effectiveness of sensory re-education on light touch/pressure sensation and finger dexterity in Idiopathic Carpal Tunnel Syndrome (ICTS). Materials and Methods: Thirty-six subjects with ICTS were randomly separated into two groups. 18 subjects in the control gro... |
0 | Use of a skin-fat composite graft to prevent alar notching: an alternative to delayed postoperative repair | Reconstruction After Skin Cancer | BACKGROUND: Full-thickness defects of the alar rim can be challenging to repair and often require the use of multistaged interpolated flaps. Alar notching is a known complication of these procedures even after cartilage batten grafts have been placed to support the alar framework. Standard techniques for repair of alar... |
1 | Cloth Masks and Mask Sterilisation as Options in Case of Shortage of Surgical Masks and Respirators | Coronavirus Disease 2019 (COVID-19) | This three-page document aims to provide advice on the use of cloth face masks and sterilization of respirators and surgical masks as an alternative in healthcare settings with suspected or confirmed COVID-19 cases if there is a shortage of specialized surgical masks and respirators. |
0 | Late infection of hydroxyapatite orbital implants | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: Exposure and minor complications of hydroxyapatite orbital implants are common. Infection appears to be rare and fibrovascular ingrowth into hydroxyapatite implants may make infection and extrusion less likely than with other types of orbital implant. Methods: We describe three cases of chronic low-grade in... |
0 | Acute cauda equina syndrome after total knee arthroplasty as a result of epidural anesthesia and spinal stenosis | Surgical Management of Osteoarthritis of the Knee CPG | An unusual complication of epidural anesthesia performed for routine total knee arthroplasty is presented. Epidural catheter placement or removal resulted in an acute cauda equina syndrome in a patient with asymptomatic high-grade lumbar spinal stenosis at L3-4. The case is presented along with a literature review |
0 | Prevention of spinal anaesthesia-induced hypotension in the elderly: i.m. methoxamine or combined hetastarch and crystalloid | Management of Hip Fractures in the Elderly | We have compared two methods of reducing hypotension during spinal anaesthesia in elderly patients, 6% hetastarch and crystalloid or methoxamine 10 mg i.m., in terms of haemodynamic stability and requirements for additional vasopressors. Sixty-two patients (aged 60-97 yr) undergoing surgical fixation of fractured neck ... |
0 | Successful use of trastuzumab with anthracycline-based chemotherapy followed by trastuzumab maintenance in patients with advanced HER2-positive Gastric Cancer | MSTS 2018 - Femur Mets and MM | Background: There is no standard chemotherapy regimen that is universally accepted for the treatment of advanced gastric cancer. Trastuzumab added to chemotherapy improves survival in patients with metastatic human epidermal growth factor receptor-2 (Her2/neu)-overexpressing gastric cancer. Data are lacking for the com... |
0 | The intraoperative gap difference (flexion gap minus extension gap) is altered by insertion of the trial femoral component | Surgical Management of Osteoarthritis of the Knee CPG | A Tensor/Balancer device has been recently developed in order to assess soft tissue balancing in total knee arthroplasty (TKA) under more physiological conditions. This device allows us to measure the joint gap with a trial femoral component in place with the patella reduced. The purpose of this study was to clarify wh... |
0 | Combined two foot flaps with iliac bone graft for reconstruction of the thumb | DoD LSA (Limb Salvage vs Amputation) | UNLABELLED: The purpose of this report was to retrospectively review the results of reconstruction of the thumb by use of combined two foot flaps with an iliac bone graft. From 2009 to 2014, nine patients with traumatic amputation of the thumb had their thumbs reconstructed. The two flaps were based on one pedicle. All... |
1 | Continuous femoral nerve block versus patient-controlled analgesia following total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | PURPOSE: To compare total knee arthroplasty (TKA) patients who received continuous femoral nerve block (FNB) with local anaesthetics through a catheter versus patient-controlled analgesia (PCA) with intravenous morphine. METHODS: 50 women and 10 men aged 51 to 84 years with matched characteristics underwent TKA and rec... |
0 | Glenoid implant orientation and cement failure in total shoulder arthroplasty: a finite element analysis | Glenohumeral Joint OA | BACKGROUND: To minimize glenoid implant loosening in total shoulder arthroplasty (TSA), the ideal surgical procedure achieves correction to neutral version, complete implant-bone contact, and bone stock preservation. These goals, however, are not always achievable, and guidelines to prioritize their impact are not well... |
0 | Bisphosphonate osteonecrosis (BON): unanswered questions and research possibilities | MSTS 2018 - Femur Mets and MM | Bisphosphonate osteonecrosis (BON) is a relatively recent adverse drug event that affects the oral cavity almost exclusively. It has been reported in individuals with metastatic breast, prostate, and lung cancer as well as in multiple myeloma. It has also been reported in a small subset of individuals who have been tre... |
0 | How the COVID-19 pandemic is affecting paediatric orthopaedics practice: a preliminary report | Coronavirus Disease 2019 (COVID-19) | PURPOSE: Since the state of alarm was decreed in Spain on 14 March 2020, the coronavirus disease 2019 (COVID-19) pandemic has had an extraordinary impact in paediatric hospitals. This study shows the effect of the pandemic on our practice in paediatric orthopaedics in a referral third level paediatric hospital. METHODS... |
0 | Sources of processed lipoaspirate cells: influence of donor site on cell concentration | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Recently, adipose tissue harvested by liposuction has been identified as a source of processed lipoaspirate cells. The aim of this study was to determine the concentration of processed lipoaspirate cells in adipose tissue obtained by liposuction from different harvest areas in women. METHODS: A prospective ... |
0 | Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction | Panniculectomy & Abdominoplasty CPG | The tumescent technique for local anesthesia permits regional local anesthesia of the skin and subcutaneous tissues by direct infiltration. The tumescent technique uses large volumes of a dilute anesthetic solution to produce swelling and firmness of targeted areas. This investigation examines the absorption pharmacoki... |
0 | Enoxaparin prevents progression of stages I and II osteonecrosis of the hip | AAHKS (2) Corticosteroids | UNLABELLED: In a prospective pilot study, we hypothesized that enoxaparin (60 mg/day for 12 weeks) would prevent progression of Stages I and II osteonecrosis of the hip associated with thrombophilia or hypofibrinolysis or both over > or = 108 weeks of followup versus untreated historic controls, with different treatmen... |
1 | Carpal tunnel syndrome: diagnosis with high-resolution sonography | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: Carpal tunnel syndrome is characterized by typical anatomic changes that can be shown with high-resolution sonography. To determine whether these findings are reliable and can be used to establish the diagnosis, sonograms of patients with the disease were compared with sonograms obtained in patients with nor... |
0 | A comparison of mobile-bearing versus fixed-bearing total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Background: Currently there are various knee prosthesis designs available each with its plus and minus points; there is no general consensus on whether mobile-bearing knees are functionally better than fixed-bearing ones. This study is designed to compare outcomes after total knee arthroplasty with both of the above pr... |
0 | A National Analysis of Complications Following Total Hip Replacement in Patients With Chronic Obstructive Pulmonary Disease | PJI DX Updated Search | Patients with chronic obstructive pulmonary disease (COPD) have a high risk of osteoporosis and fractures. The incidence rate of hip fracture has steadily increased over time and is a major common event in patients with osteoporosis and COPD. Total hip replacement (THR) is commonly performed in patients with hip fractu... |
1 | Endoprosthetic replacement for malignant bone tumours of the proximal femur | MSTS 2018 - Femur Mets and MM | Limb salvage procedures are considered the gold standard in the treatment of bone tumours. The use of modular prostheses is one of the options for reconstruction after bone resection in primary tumours and in very restricted cases also in bone metastases. The authors report the results of 27 consecutive cases of proxim... |
0 | The distal radial decompression osteotomy for ulnar impingement syndrome | Distal Radius Fractures | INTRODUCTION: The decompression of the distal radioulnar joint (DRUJ) is performed by ulnar translation of the radial shaft proximal to the sigmoid notch, i.e. detensioning of the distal part of the interosseous membrane (DIOM) while containment of the DRUJ is achieved by closed wedge osteotomy of the radius. The osteo... |
0 | Management of osteochondritis dissecans of the knee | Osteochondritis Dissecans 2020 Review | The etiology of osteochondritis dissecans is hypothesized as repetitive microtrauma, resulting in an interruption of blood supply. Due to the location of the most common lesions on the medial femoral condyle, impingement of either the medial tibial spine or inferior pole of the patella against the adjacent medial femur... |
0 | Tapentadol vs oxycodone/naloxone in the management of pain after total hip arthroplasty in the fast track setting: an observational study | AAHKS (4) Acetaminophen | BACKGROUND: In recent years, joint replacement surgery has gradually progressed towards the fast-track model, and early rehabilitation immediately after surgery is regarded fundamental for optimal recovery of function: the aim of the present study is to describe the efficacy in perioperative management of pain in patie... |
0 | Septic Arthritis Caused by Chryseobacterium meningosepticum in an Elbow Joint Prosthesis | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Chryseobacterium meningosepticum is a Gram-negative bacillus historically associated with meningitis and sepsis in premature neonates. Clinicians should suspect this organism when Gram-negative bacilli are seen on Gram-stain and culture, particularly in immunocompromised patients, and in cases of disrupted host tissue ... |
1 | Total Hip Arthroplasty Using a Cylindrical Cementless Stem in Patients With a Small Physique | Developmental Dysplasia of the Hip CPG | We performed total hip arthroplasty using an anatomic medullary locking cementless stem for small-physique patients from 1988 to 1995. We conducted a retrospective study of 50 joints in 44 cases, including 40 developmentally dysplastic hips followed for 12 to 20 years (average, 15.1 years). Average height and body weig... |
0 | Transdermal fentanyl patch for postoperative analgesia in total knee arthroplasty: A randomized double-blind controlled trial | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: To assess the efficacy of a transdermal fentanyl patch (TFP) (50 (mu)g/hour) applied 10-12 hours before surgery versus placebo for postoperative pain control of total knee arthroplasty (TKA). Materials and methods: We enrolled 40 patients undergoing elective TKA under spinal anesthesia using isobaric or hyperb... |
0 | Urban Congolese Refugees in Kenya: The Contingencies of Coping and Resilience in a Context Marked by Structural Vulnerability | DoD PRF (Psychosocial RF) | The global increase in refugee migration to urban areas creates challenges pertaining to the promotion of refugee health, broadly conceived. Despite considerable attention to trauma and forced migration, there is relatively little focus on how refugees cope with stressful situations, and on the determinants that facili... |
0 | Risk classification for primary knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | We devised a 4-group classification for primary TKA patients: C0, fit patient, simple arthritis; CI, fit patient, complex arthritis; CII, medically unfit patient with simple pattern; and CIII, unfit patient with complex arthritis. Patient fitness and arthritis complexity were based on the literature. One hundred twenty... |
1 | 10-Min 3D Turbo Spin Echo MRI of the Knee in Children: Arthroscopy-Validated Accuracy for the Diagnosis of Internal Derangement | Osteochondritis Dissecans 2020 Review | BACKGROUND: Ten-minute MRI of the pediatric knee can add value through increased cost-effectiveness and decreased sedation needs but requires validation of its clinical efficacy. PURPOSE: To determine the arthroscopy-based diagnostic accuracy and interreader reliability of 10-min 3D Controlled Aliasing In Parallel Imag... |
0 | Subarachnoid and intraventricular hemorrhage due to ruptured aneurysm after combined spinal-epidural anesthesia | PJI DX Updated Search | A patient received combined spinal-epidural anesthesia for a scheduled total knee arthroplasty. After an injection of spinal anesthetic and ephedrine due to a decrease in blood pressure, the patient developed a severe headache. The patient did not respond to verbal command at the completion of the operation. A brain CT... |
0 | Reconstruction of the thumb amputation at the carpometacarpal joint level by groin flap and second toe transfer | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: Traumatic loss of thumb at the carpometacarpal (CMC) joint level is very disabling to an individual. Pollicisation is the recommended technique of reconstruction for loss of thumb at this level. On occasions, injury to the rest of the hand or amputation of additional fingers may make pollicisation an impo... |
1 | Vascular injuries in compound fractures of the leg with initially adequate circulation | DoD SSI (Surgical Site Infections) | We carried out a randomised, controlled trial in 157 patients who had isolated severe Gustilo type-IIIa and type-IIIb fractures of the metaphysis or diaphysis of the leg to determine the prevalence of vascular injuries and the role of vascular repair. All patients had stable vital signs and clinically adequate circulat... |
1 | Advantages and disadvantages of the prone position in the surgical treatment of supracondylar humerus fractures in children. A literature review | Pediatric Supracondylar Humerus Fracture 2020 Review | INTRODUCTION: Supracondylar humerus fractures are the most common elbow injuries in children. The widely adopted approach for Gartland III extension type consists of closed reduction and percutaneous pinning; the pin configuration can be lateral or crossed in relationship with the habit of the surgeons. Iatrogenic inju... |
0 | Does open fasciotomy contribute to morbidity and mortality after acute lower extremity ischemia and revascularization? | DoD SSI (Surgical Site Infections) | A retrospective review was undertaken of 127 lower extremity fasciotomies performed for compartment syndrome after acute ischemia and revascularization in 73 patients with vascular trauma and 49 patients with arterial occlusive disease. One hundred twelve (88%) fasciotomies were performed early (at the time revasculari... |
0 | Elucidating Determinants of Survival Disparities Among a Real-world Cohort of Metastatic Breast Cancer Patients: A National Cancer Database Analysis | MSTS 2022 - Metastatic Disease of the Humerus | Background: Disparities in breast cancer survival by race/ethnicity and socioeconomic status have been reported. However, it is unclear if these findings are reproducible among subpopulations. This study aimed to assess if socially oriented factors are predictive of overall survival (OS) among patients with hormone rec... |
0 | Slipped capital femoral epiphysis in children aged less than 10 years | DoD SSI (Surgical Site Infections) | Slipped capital femoral epiphysis (SCFE) is rare in children aged less than 10 years, and its management in this age group raises a number of different considerations. We present a series of 10 children aged less than 10 years who presented with SCFE to our institution between 1993 and 2005. Case notes and radiographic... |
0 | The painful knee after total knee arthroplasty: Evaluation and management | OAK 3 - Non-arthroplasty tx of OAK | Total knee arthroplasty (TKA) is the treatment of choice for end-stage osteoarthritis of the knee. The aging of population and the need to maintain high quality of life have increased the demand for TKA. Although considered a successful procedure, 15-30% of patients presenting persistent pain. The management of these p... |
0 | Skin grafts provide durable end-bearing coverage for lower-extremity amputations with critical soft tissue loss | DoD LSA (Limb Salvage vs Amputation) | Lower-extremity amputations in the presence of soft tissue loss represent an unresolved conundrum because surgeons must consider sacrificing bone length to obtain adequate soft tissue coverage. Local flaps and microvascular soft tissue transfers are established strategies for maintaining residual limb length. However, ... |
0 | CheckMate 025 Randomized Phase 3 Study: Outcomes by Key Baseline Factors and Prior Therapy for Nivolumab Versus Everolimus in Advanced Renal Cell Carcinoma | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND: The randomized, phase 3 CheckMate 025 study of nivolumab (n=410) versus everolimus (n=411) in previously treated adults (75% male; 88% white) with advanced renal cell carcinoma (aRCC) demonstrated significantly improved overall survival (OS) and objective response rate (ORR).
OBJECTIVE: To investigate which... |
0 | Arthroscopic debridement with continuous irrigation for septic arthritis of the shoulder joint | Glenohumeral Joint OA | Purpose: The purpose of this study was to investigate the outcome of arthroscopic debridement with continuous irrigation in patients with septic arthritis of the shoulder joint. Methods: Ten patients (four men, six women) with septic arthritis of the shoulder joint were treated with a combination of arthroscopic debrid... |
0 | Knee osteoarthritis in women | OAK 3 - Non-arthroplasty tx of OAK | Osteoarthritis is a disease that progresses over time and culminates in the destruction of articular cartilage and joints. Thus, with an increasing elderly population the treatment of knee osteoarthritis has become a major healthcare issue. It has been shown that women are more severely impacted by knee osteoarthritis.... |
0 | The influence of reading direction on hemianopic reading disorders | Upper Eyelid and Brow Surgery | UNLABELLED: Hemianopic reading impairment is a consequence of a visual field defect to either the right or the left side and is characterized by an increased reading time and reduced reading performance. Depending on the side of the visual field defect, reading will be affected differently: Patients suffering from a vi... |
0 | Bone Cancer: Diagnosis and Treatment Principles | DoD LSA (Limb Salvage vs Amputation) | Primary bone cancers include osteosarcoma, Ewing sarcoma, and chondrosarcoma. They account for less than 1% of diagnosed cancers each year and are associated with significant morbidity and mortality. Timely diagnosis is challenging because of late patient presentation, nonspecific symptoms that mimic common musculoskel... |
0 | Thompson Hemiarthroplasty for Femoral Neck Fracture Is Associated With Increased Risk of Dislocation | Hip Fx in the Elderly 2019 | Background: This contemporaneous large multicenter retrospective study reflective of current practice, assesses the impact of patient factors, prosthesis selection, and implant features on the risk of dislocation after hip hemiarthroplasty for femoral neck fracture. Methods: Radiographic records for 4116 consecutive pa... |
0 | Apronectomy combined with laparotomy for morbidly obese endometrial cancer patients | Panniculectomy & Abdominoplasty CPG | Background: The surgical management of morbidly (BMI >40) and super obese (BMI >50) women with endometrial cancer is challenging. The aim of this study was to describe the short and long term outcomes of apronectomy combined with laparotomy for endometrial cancer staging and tumour debulking. Methods: A retrospective c... |
0 | Is avoidance of sunlight a cause of fractures of the femoral neck in elderly Saudis? | Management of Hip Fractures in the Elderly | A study of the frequency of admitted cases of femoral neck fractures to Riyadh Central Hospital, Riyadh, Saudi Arabia, showed admission of 95 patients over 40 years of age in a period of one year. The male to female ratio was 64% males to 36% females. Vitamin D nutritional status of patients with fractures of the neck ... |
0 | Mid-term results using a cementless hip prosthesis in young Chinese patients: A five- to seven-year follow-up study | PJI DX Updated Search | A retrospective study was undertaken to evaluate the clinical and radiographic outcomes of 74 cementless total hip arthroplasties (THA) in 69 young Chinese patients. The Asian size and MMA AML stems with smoothly tapered tip were used, and the patients were followed up for at least five years. The mean Harris hip score... |
0 | Intraoperative measurement of bone electrical potential: a piece in the puzzle of understanding fracture healing | Hip Fx in the Elderly 2019 | INTRODUCTION: Bone electrical potentials change with the force applied. Also, fracture alters the bone electrical potential, so it becomes more electronegative. These potentials have an important role in fracture healing, bone growth and remodelling. Literature data on the influence of fracture operative treatment on b... |
1 | How effective is periarticular drug infiltration in providing pain relief and early functional outcome following total hip arthroplasty? | AAHKS (8) Anesthetic Infiltration | The aim of the study was to compare the efficacy of periarticular injection of a cocktail of analgesic drugs (PIC) with epidural infiltration (EA), in providing postoperative pain relief and early functional improvement following Total Hip Arthroplasty (THA). Methods: 50 patients undergoing unilateral THA were randomiz... |
0 | Tantalum uncemented tibial component in total knee arthroplasty: Mid-term results | Surgical Management of Osteoarthritis of the Knee CPG | Introduction The porous tantalum is a very important alternative in prosthetic surgery of the knee. The purpose of this prospective study was to evaluate the clinical and radiographic results in the short and in the medium term of tantalum uncemented tibial component in total knee arthroplasty. Materials and methods In... |
0 | The role of infrapopliteal angioplasty | DoD LSA (Limb Salvage vs Amputation) | Infrapopliteal percutaneous transluminal angioplasty (PTA) is currently indicated in patients with critical limb ischaemia (CLI). It may be performed after femoral angioplasty or bypass surgery, to improve outflow and hence patency of the proximally treated segment. Patients with CLI are typically elderly with multiple... |
0 | Heel ulcer incidence following orthopedic surgery: a prospective, observational study | Management of Hip Fractures in the Elderly | People undergoing orthopedic surgery receive care at many points along the healthcare continuum. Although heel pressure ulcer (HPU) incidence in the orthopedic population has been reported to be 13.3%, information is limited. The purpose of this prospective observational study was to evaluate: 1) the cumulative inciden... |
0 | Novel quantitative assessment of metamorphopsia in maculopathy | Upper Eyelid and Brow Surgery | PURPOSE: Patients with macular disease often report experiencing metamorphopsia (visual distortion). Although typically measured with Amsler charts, more quantitative assessments of perceived distortion are desirable to effectively monitor the presence, progression, and remediation of visual impairment. METHODS: Partic... |
0 | Antimicrobial effect of a chlorhexidine-thymol varnish (Cervitec) in orthodontic patients. A prospective, randomized clinical trial | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | The aim of the present investigation was to study the effect of combined application of a fluoride varnish (Fluor Protector) and an antimicrobial varnish (Cervitec) on the oral microflora, caries and gingival condition in patients receiving treatment with fixed orthodontic appliances. A total of 198 individuals (12 to ... |
1 | Perioperative and Long-Term Smoking Behaviors in Cosmetic Surgery Patients | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Many plastic surgeons advocate smoking cessation before patients undergo cosmetic surgery with extensive soft-tissue dissection. Smoking cessation rates after cosmetic surgery are unknown. The preoperative consultation may be an opportunity to promote long-term smoking cessation. METHODS: This is a retrospe... |
0 | Compartment elasticity measured by pressure-related ultrasound to determine patients "at risk" for compartment syndrome: an experimental in vitro study | DOD - Acute Comp Syndrome CPG | BACKGROUND: Decision-making in treatment of an acute compartment syndrome is based on clinical assessment, supported by invasive monitoring. Thus, evolving compartment syndrome may require repeated pressure measurements. In suspected cases of potential compartment syndromes clinical assessment alone seems to be unrelia... |
0 | Verification of the median-to-ulnar and ulnar-to-median nerve motor fiber anastomosis in the forearm: An electrophysiological study | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: To estimate the real occurrence of the motor median-to-ulnar nerve anastomosis in the proximal forearm (Martin-Gruber anastomosis, MGA), as its frequency varies between 6 and 44% in the literature and to investigate the incidence of the ulnar-to-median nerve anastomosis in the distal forearm. Methods: Compou... |
0 | Collagen IX in weight-bearing areas of human articular cartilage in late stages of osteoarthritis | Surgical Management of Osteoarthritis of the Knee CPG | AIM: To determine if the amounts of collagen IX mRNA and protein are higher in osteoarthritic cartilage from weight-bearing areas of the knee joint compared to non-weight bearing areas in patients with stage IV osteoarthritis (OA). METHODS: Normal and OA cartilage samples were obtained from 15 patients undergoing total... |
0 | Visual Dysfunction in Posterior Cortical Atrophy | Upper Eyelid and Brow Surgery | Posterior cortical atrophy (PCA) is a syndromic diagnosis. It is characterized by progressive impairment of higher (cortical) visual function with imaging evidence of degeneration affecting the occipital, parietal, and posterior temporal lobes bilaterally. Most cases will prove to have Alzheimer pathology. The aim of t... |
1 | Do Indomethacin or Radiation for Heterotopic Ossification Prophylaxis Increase the Rates of Infection or Wound Complications after Acetabular Fracture Surgery? | Hip Fx in the Elderly 2019 | Objectives:To compare the rates of infection and wound complications in patients undergoing operative fixation (ORIF) of acetabular fractures receiving heterotopic ossification (HO) prophylaxis using indomethacin or external beam radiation therapy (XRT) versus no prophylaxis.Design:Retrospective cohort.Setting:Level I ... |
0 | Joint fluid antioxidants are decreased in osteoarthritic joints compared to joints with macroscopically intact cartilage and subacute injury | AMP (Acute Meniscal Pathology) | OBJECTIVE: Excess reactive oxygen species and oxidative damage have been associated with the pathogenesis of osteoarthritis (OA). Extracellular superoxide dismutase (EC-SOD or SOD3) scavenges superoxide is the major catalytic antioxidant in joint fluid and is decreased in OA cartilage. We studied human joint fluid samp... |
1 | Results and outcomes after operative treatment of high-energy tibial plafond fractures | DoD SSI (Surgical Site Infections) | BACKGROUND: The purposes of this study were to evaluate the clinical and radiographic results and the functional outcomes after operative treatment of tibial plafond fractures treated with internal or external fixation.
METHODS: A retrospective review identified 76 patients with 79 fractures (OTA 43-B or 43-C) of the t... |
0 | Chronic kidney disease in the context of multimorbidity patterns: the role of physical performance : The screening for CKD among older people across Europe (SCOPE) study | Hip Fx in the Elderly 2019 | BACKGROUND: Chronic kidney disease (CKD) is known to be associated with several co-occurring conditions. We aimed at exploring multimorbidity patterns associated with CKD, as well as the impact of physical performance and CKD severity on them in a population of older outpatients.
METHODS: Our series consisted of 2252 p... |
0 | Unusual mechanical complications of unicompartmental low contact stress mobile bearing patellofemoral arthroplasty: A cause for concern? | Surgical Management of Osteoarthritis of the Knee CPG | The Low Contact Stress Patellofemoral Arthroplasty (LCS PFA) is a newer design belonging to the second generation of inlay type implants, addressing the problems encountered in the first generation models (Lubinus & Richard's). The cemented mobile bearing metal backed patellar component in this system is "modular"; all... |
0 | Mechanically and electrically evoked somatosensory potentials in normal humans | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Somatosensory potentials evoked by mechanical stimulation of the fingernail and electrical stimulation of the nerve in the finger and at the wrist were recorded by surface electrodes over: (1) the digital nerve in the index finger, (2) the median nerve at the wrist, (3) the median nerve at the axilla, (4) the brachial ... |
0 | Rhodococcus equi infection in a patient with spinocellular carcinoma of unknown origin | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A Rhodococcus equi pulmonary infection in a 63-year-old man receiving chemotherapy and radiotherapy for spinocellular carcinoma is described. The patient, a knife-grinder, was promptly treated with levofloxacin plus amikacin followed by rifampicin for 2 months, and he is still in good clinical condition after an 8-mont... |
0 | Lateral meniscus root tear and meniscus extrusion with anterior cruciate ligament tear | AMP (Acute Meniscal Pathology) | PURPOSE: To retrospectively determine the prevalence of posterior lateral meniscus root tears (LMRTs), as depicted on magnetic resonance (MR) images, in patients with an anterior cruciate ligament (ACL) tear and to investigate the association of LMRTs with lateral meniscus extrusion and other ligament injuries.
MATERIA... |
1 | Single stage, direct to implant pre-pectoral breast reconstruction | Acellular Dermal Matrix | BACKGROUND: Given the current trends in skin preservation during mastectomy, improved biofilm reduction algorithms, and advancements in tissue bioengineering and perfusion assessment, acellular dermal matrix (ADM)-reinforced single stage, direct to implant insertion in the pre-pectoral space has become a viable alterna... |
1 | An efficient and fast computer-aided method for fully automated diagnosis of meniscal tears from magnetic resonance images | AMP (Acute Meniscal Pathology) | Menisci are structures that directly affect movement, so early detection of meniscus tears also helps to prevent progressive knee disorders such as osteoarthritis. Manual segmentation of the menisci and diagnosis of the meniscal tear is a costly process in terms of time and effort for a radiologist. The aim of this stu... |
1 | Long-term outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears | AMP (Acute Meniscal Pathology) | BACKGROUND: The influence of standard meniscus treatment strategies regarding osteoarthritic progress, function, and sports activity has not been estimated in a direct long-term comparison.
HYPOTHESIS: Meniscal repair compared with partial meniscectomy (partial meniscal resection) decreases osteoarthritic changes and r... |
0 | Hip fracture and venous thromboembolism in the elderly | Management of Hip Fractures in the Elderly | Venous thromboembolism (VTE), a highly prevalent vascular disorder, is frequently clinically silent, and is often difficult to diagnose. VTE consists of both deep vein thrombosis (DVT) and pulmonary embolism (PE), both of which are associated with potentially significant morbidity and mortality. With the availability o... |
0 | Acute pain assessment and pharmacological management practices for the older adult with a hip fracture: review of ED trends | Management of Hip Fractures in the Elderly | INTRODUCTION: This article examines acute pain assessment and pharmacological management in the emergency department that occurred over a period of time after the release of the new pain assessment and management compliance standards of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for accre... |
0 | Total oxidative stress and antioxidant status in patients with carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVES: Studies in the carpal tunnel syndrome (CTS) are supported ischemia-induced changes rather than inflammation of the flexor tenosynovium. In this study, total antioxidant status (TAS), total oxidative stress (TOS) and oxidative stress index (OSI) in patients with CTS has been investigated. METHODS: Forty-thre... |
0 | Septic arthritis and mass of knee joint ec tuberculosis | Surgical Management of Osteoarthritis of the Knee CPG | A 30 years female complained on her right knee pain and swelling since 4 years before hospitalized. Through arthrocentesis with redness of the fluid examination, it is indicated she is suffering from malignancy with septic arthritis. Pathological examination shows non specific chronical inflammatory and suspect maligna... |
0 | Impact of organisational changes on fracture neck of femur management | Management of Hip Fractures in the Elderly | INTRODUCTION: In 2005, University Hospitals of Leicester formed a Fracture Neck of Femur (#NOF) project group to improve care of this group of patients. SUBJECTS AND METHODS: The salient changes effected by the group were the appointment of designated orthogeriatricians, trauma co-ordinators, clinical aides, and discha... |
1 | Improved analgesia with clonidine when added to local anesthetic during combined spinal-epidural anesthesia for hip arthroplasty: a double-blind, randomized and placebo-controlled study | AAHKS (8) Anesthetic Infiltration | BACKGROUND: The perioperative effects of intrathecal and epidural clonidine combined with local anesthetic were evaluated in 60 patients undergoing hip arthroplasty.
METHODS: This was a double-blinded study and the patients were randomized into three groups, with 20 patients in each group. All patients received spinal ... |
0 | The suture of meniscal tears in the avascular zone enforced by a collagen I/III membrane: Clinical experience over 6 years and animal experiments | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Due to the limited healing potential of meniscal tissue different efforts have been done to enhance healing of sutured meniscus. Technique and Material: The meniscus wrap technique is based on the experience with a technique developed by the senior author (RPJ) and first applied in 2003. Wrapping the meni... |
0 | Surgical glove bacterial contamination and perforation during total hip arthroplasty implantation: when gloves should be changed | PJI DX Updated Search | INTRODUCTION: Double gloving is recommended in orthopedic surgery, notably in total hip arthroplasties (THA) to prevent contamination of the surgical site. HYPOTHESIS: Systematic glove changes during the key phases of hip prosthesis implantation reduce the frequency of occult perforations and bacterial loading of glove... |
0 | Sustained clinical and structural benefit after joint distraction in the treatment of severe knee osteoarthritis | PJI DX Updated Search | BACKGROUND: Treatment of severe osteoarthritis (OA) in relatively young patients is challenging. Although successful, total knee prosthesis has a limited lifespan, with the risk of revision surgery, especially in active young patients. Knee joint distraction (KJD) provides clinical benefit and tissue structure modifica... |
0 | Involvement of fibroblast growth factor-2 in joint destruction of rheumatoid arthritis patients | BMAC (Bone Marrow Aspirate Concentrate) | OBJECTIVE: To investigate the effect of the synovial fluid from knee joints of rheumatoid arthritis (RA) patients with different severities of joint destruction on osteoclastogenesis and bone resorption.
METHODS: Synovial fluid was harvested from the knee joints of 59 RA patients and 37 ostcoarthritis (OA) patients. RA... |
0 | The comparison of two classifications for trochanteric femur fractures: the AO/ASIF classification and the Jensen classification | Management of Hip Fractures in the Elderly | This study compares the reproducibility of two classifications for trochanteric femur fractures: the Jensen classification and the AO/ASIF classification. Furthermore we evaluated the agreement on fracture stability, choice of osteosynthesis, fracture reduction and the accuracy of implant positioning. In order to calcu... |
0 | Dutch randomized trial comparing standard catheter-directed thrombolysis and ultrasound-accelerated thrombolysis for arterial thromboembolic infrainguinal disease (DUET) | DOD - Acute Comp Syndrome CPG | Purpose: To report the results of the Dutch randomized trial comparing standard catheter-directed and ultrasoundaccelerated thrombolysis (UST) for the treatment of arterial thromboembolic occlusions. Methods: The DUET study (controlled-trials.com; identifier ISRCTN72676102) was designed to assess whether UST can reduce... |
0 | The pathogenesis and significance of menisceal cysts | AMP (Acute Meniscal Pathology) | From a total of 1571 surgically excised menisci, 112 (7.1 per cent) were found by gross and microscopic examination to contain one or more cysts. All of these cysts were associated with tears, either primarily horizontal or with a horizontal component. Tracks were often demonstrable leading from the tear to the cysts, ... |
0 | The impact of coronal alignment on distal radioulnar joint stability following distal radius fracture | Distal Radius Fractures | Purpose Shift of the distal fragment of a distal radius fracture (DRF) in the coronal plane (coronal shift) may compromise the contributions of the distal oblique bundle (DOB) of the interosseous membrane to distal radioulnar joint (DRUJ) stability. The purpose of the study was to test our hypothesis that coronal shift... |
0 | Immediate or delayed dissection of regional nodes in patients with melanoma of the trunk: a randomised trial. WHO Melanoma Programme | Reconstruction After Skin Cancer | BACKGROUND: The use of elective regional node dissection in patients with cutaneous melanoma without any clinical evidence of metastatic spread is still debated. Our aim was to evaluate the efficacy of immediate node dissection in patients with melanoma of the trunk and without clinical evidence of regional node and di... |
0 | Effect of zein on biodegradable inserts for the delivery of tetracycline within periodontal pockets | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Treatment with antibiotics within the periodontal pocket against bacterial infections represents a useful and adjunctive tool to conventional therapy for healing and teeth preservation. With this function in view, an implantable, tetracycline delivery device for the treatment of periodontal disease was developed. The a... |
0 | The soft tissue repair and knee arthrodesis with ilizarov method in the treatment of the open wound which is secondary to the total knee prosthesis: Case report | Surgical Management of Osteoarthritis of the Knee CPG | The total knee arthroplasty (TKA) was performed in a 68-year-old female patient who had been followed up with the diagnosis of knee osteoarthritis. The operated knee got infected during follow up. The infection became resistant and caused soft tissue necrosis and insufficiency of extensor mechanism in spite of the debr... |
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