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0 | Chronic renal failure due to amyloid nephropathy caused by chronic infection after total hip replacement | Hip Fx in the Elderly 2019 | A 75-year-old woman was admitted to our hospital because of proteinuria, pitting edema on the foot, and renal impairment. She had undergone total hip replacement (THR) for femoral neck fracture at the age of 66. Nine years later, she met with an accident during farming and was treated at an emergency hospital for sever... |
0 | What tissue bankers should know about the use of allograft meniscus in orthopaedics | AMP (Acute Meniscal Pathology) | The menisci of the knee are two crescent shaped cartilage shock absorbers sitting between the femur and the tibia, which act as load sharers and shock absorbers. Loss of a meniscus leads to a significant increase in the risk of developing arthritis in the knee. Replacement of a missing meniscus with allograft tissue ca... |
0 | All-polyethylene versus metal-backed and stemmed tibial components in cemented total knee arthroplasty. A prospective randomised RSA study | Management of Hip Fractures in the Elderly | We studied the quality of fixation of the tibial component using radiostereometric analysis (RSA) in 40 patients who had undergone a cemented Freeman-Samuelson total knee arthroplasty. They were prospectively randomised to either a stemmed metal-backed (MB) or non-stemmed all-polyethylene (AP) tibial component. The art... |
0 | Adherence to a Yoga Program in Older Women with Knee Osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | Yoga is beneficial for osteoarthritis (OA) management in older adults; however, adherence to yoga practice is unknown. The purposes of this secondary analysis were to examine: (1) yoga adherence during the intervention and follow-up periods; (2) the relationship between social cognitive theory (SCT) constructs and adhe... |
0 | Responsiveness of SF-36 Health Survey and Patient Generated Index in people with chronic knee pain commenced on oral analgesia: analysis of data from a randomised controlled clinical trial | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: (1) To assess the responsiveness of the Short Form 36 Health Survey (SF-36) and Patient Generated Index (PGI) in people with knee pain who were given oral analgesics; and (2) to perform content analysis of the SF-36 and PGI aiming to identify differences between the instruments and causes of different responsi... |
0 | Dental procedures as risk factors for prosthetic hip or knee infection: a hospital-based prospective case-control study | PJI DX Updated Search | BACKGROUND: The actual risk of prosthetic joint infection as a result of dental procedures and the role of antibiotic prophylaxis have not been defined. METHODS: To examine the association between dental procedures with or without antibiotic prophylaxis and prosthetic hip or knee infection, a prospective, single-center... |
0 | Pediatric Supracondylar Humerus Fractures: AAOS Appropriate Use Criteria Versus Actual Management at a Pediatric Level 1 Trauma Center | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVES: The purpose of this study was to characterize management of supracondylar humerus fractures (SCHFs) at a level 1 trauma center and identify factors contributing to divergence in management from American Academy of Orthopedic Surgeons (AAOS) the Appropriate Use Criteria (AUC) recommendations. METHODS: A quer... |
0 | New role for an established drug? Bisphosphonates as potential anticancer agents | MSTS 2018 - Femur Mets and MM | As a result of their ability to effectively reduce the risk of skeletal-related events, bisphosphonates (BPs) were incorporated into clinical practice over a decade ago, leading to a new treatment paradigm for patients with skeletal involvement from advanced cancer. BPs are now a well-established treatment option in th... |
0 | The efficacy of external ultrasound-assisted liposuction: a randomized controlled trial | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Use of high-intensity, high-frequency external ultrasound before liposuction has been reported to enhance the ease of fat extraction, increase the amount of fat extracted, and decrease patient discomfort during liposuction. OBJECTIVE: The purpose of this study was to compare the effect of application of hig... |
0 | Association of lubricin concentration in synovial fluid and clinical status of osteoarthritic knee | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: Although lubricin plays a role in controlling inflammation and pain as well as being a mechanical lubricant, clinical relevance of lubricin concentration in synovial fluid (SF) is unknown. The purpose was to determine whether lubricin concentration in SF is associated with the clinical status of the knee.
M... |
1 | Oral care and bacteremia risk in mechanically ventilated adults | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | OBJECTIVE: Transient bacteremia occurs in healthy populations from toothbrushing. With the high incidence of bacteremia in the intensive care unit and toothbrushing as an oral care method, this study examined the incidence and clinical significance of transient bacteremia from toothbrushing in mechanically ventilated a... |
0 | Osteo-core Plasty: A Minimally Invasive Approach for Subchondral Bone Marrow Lesions of the Knee | Osteochondritis Dissecans 2020 Review | "Bone marrow lesion" (BML) is a common term used to describe the presence of fluid in the bone marrow. Although various pathologies can cause BMLs seen on magnetic resonance imaging, in this Technical Note we focus on treating the lesions associated with osteoarthritis in the knee joint. The role of the subchondral bon... |
1 | Pre-hospital dietary intake correlates with muscle mass at the time of fracture in older hip-fractured patients | DoD PRF (Psychosocial RF) | Background: Failure to meet an adequate dietary intake is involved in the pathogenesis of sarcopenia and osteoporosis, which in turn increase the risk for falls and fractures, respectively. Older people with hip fracture are often protein-malnourished at hospitalization. Whether low protein-energy intake is associated ... |
0 | Dkk-1-mediated inhibition of Wnt signaling in bone ameliorates osteoarthritis in mice | OAK 3 - Non-arthroplasty tx of OAK | Objective Wnt signaling is a master regulator of joint homeostasis, but its role in osteoarthritis (OA) remains unclear. This study was undertaken to characterize the activation of Wnt/β-catenin in knee joints of mice with OA and to assess how inhibiting this pathway in bone could affect cartilage. Methods OA was indu... |
0 | Joint salvage for pathologic fracture of giant cell tumor of the lower extremity | DoD LSA (Limb Salvage vs Amputation) | Pathologic fracture through giant cell tumor is thought to be associated with higher rates of recurrence and poor functional outcome. We compared patients with and without pathologic fracture through giant cell tumor of weightbearing long bones. We retrospectively reviewed 139 patients with giant cell tumor of weightbe... |
0 | Prosthetic advances | DoD LSA (Limb Salvage vs Amputation) | Much of the current prosthetic technology is based on developments that have taken place during or directly following times of war. These developments have evolved and improved over the years, and now there are many more available options to provide a comfortable, cosmetic, and highly functional prosthesis. Even so, pr... |
0 | A consensus statement on the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) algorithm for the management of knee osteoarthritis-From evidence-based medicine to the real-life setting | AAHKS (4) Acetaminophen | The European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) published a treatment algorithm for the management of knee osteoarthritis (OA) in 2014, which provides practical guidance for the prioritization of interventions. Further analysis of real-world data for OA provides additio... |
0 | Infective endocarditis in the adult patient | Dental Implant Infection | Infective endocarditis (IE) is an uncommon disease with a high morbidity and mortality. The basic pathology involves adherence of microorganisms to areas of endothelial damage or associated implanted medical devices, such as prosthetic valves or pacemakers, resulting in localized infection and formation of vegetations.... |
0 | Incidence of perioperative arthroplasty complications in elderly patients and feasibility of screening perioperative stroke with NIHSS | Surgical Management of Osteoarthritis of the Knee CPG | In-hospital strokes account for 6.5-15%of total strokes. Half of them are perioperative. Thrombolysis and new antiplatelet drugs have significantly improved the prognosis of ischaemic strokes, but only 2-15% patients receive thrombolysis in time due to a short time window for use (6-12 h). Diagnosis of in-hospital stro... |
0 | One-stage cementless revision arthroplasty for infected hip replacements | PJI DX Updated Search | We hypothesised that one-stage cementless revision hip arthroplasty may have advantages and a role in the treatment of selected patients with an infected hip replacement. We retrospectively reviewed all patients with an infected hip replacement treated with one-stage revision using cementless implants. Twelve patients ... |
0 | Physical activity and hip fracture: A population-based case-control study | DoD PRF (Psychosocial RF) | Background. A growing body of literature suggests that physical activity may be a protective factor against hip fracture. Methods. To study the association between hip fracture risk and recreational physical activity at various ages, changes in activity during adult life, occupational physical activity and how risks va... |
1 | Treatment of carpal tunnel syndrome with alpha-lipoic acid | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal Tunnel Syndrome (CTS) is the most common peripheral mononeuropathy; its symptoms and functional limitations significantly penalize the daily activities and quality of life of many people. While surgery is reserved to most severe cases, the earlier stages of disease may be controlled by a pharmacological treatmen... |
1 | Adipose-derived stem cells in articular cartilage regeneration: current concepts and optimization strategies | OAK 3 - Non-arthroplasty tx of OAK | Knee osteoarthritis (KOA) is the most common progressive joint disorder associated with disability in the world. As a chronic disease, KOA has multifactorial etiology. However, the poor self-healing ability of the articular cartilage due to its intrinsic tissue hypovascularity and hypocellularity seems to be directly i... |
1 | Dynamic ultrasound assessment for monitoring of treatment of congenital dislocation of the hip | Developmental Dysplasia of the Hip CPG | Of the 7,827 babies born in Sheffield between March 1989 and August 1991, a total of 114 (1.4%) who had either clinical abnormality of the hip or high-risk factors for congenital dislocation of the hip (CDH) were examined by ultrasound at birth and at regular intervals. Dynamic ultrasound assessment of both hips was do... |
0 | The vascular network in the femoral head and neck after hip resurfacing | Management of Hip Fractures in the Elderly | The purpose of this study was to determine whether femoral neck fracture after cemented resurfacing hip arthroplasty (RHA) arises from intraosseous vascularity around the femoral head-neck junction. We implanted a replica of the femoral head component into osteoarthritic femoral heads and compared the intraosseous vasc... |
0 | Pulmonary hypertension with different etiology of forensic medicine - Eight cases | Hip Fx in the Elderly 2019 | Purpose: In addressing complex cases with pulmonary hypertension (PH) no must omitted some situations encountered in forensic toxicology. Material and methods: We analyzed eight forensic cases presenting various degrees of pulmonary hypertension of different etiologies were subjected to forensic autopsy and then were t... |
1 | Investigation of Utility of Sonography in Early Management of Knee Pain Due to Traumatic Events | AMP (Acute Meniscal Pathology) | Background: Knee pain and related symptoms may come as a result of damage to one or more of the soft tissue structures that stabilize and cushion the knee joint. Trauma to the knee is the second most common occupational accident. Ultrasound has a significant role in patients presenting with knee joint trauma as sonogra... |
0 | Efficacy of risedronate administration in osteoporotic postmenopausal women affected by inflammatory bowel disease | Management of Hip Fractures in the Elderly | Patients with inflammatory bowel disease (IBD) have frequently a bone mineral density (BMD) significantly lower than age-matched healthy subjects. The low BMD observed in IBD patients is related also to a higher incidence of bone fractures. In this prospective randomized study we evaluated the effect of 1-year risedron... |
1 | Early symptoms in the prodromal phase of delirium: a prospective cohort study in elderly patients undergoing hip surgery | Management of Hip Fractures in the Elderly | OBJECTIVES: The authors investigated prodromal delirium symptoms in elderly patients undergoing hip surgery. METHODS: This was a prospective cohort study in the setting of a large medical school-affiliated general hospital in Alkmaar, The Netherlands. Participants were patients undergoing hip surgery aged 70 and older ... |
0 | Mobile-bearing knee systems: ultra-high molecular weight polyethylene wear and design issues | Surgical Management of Osteoarthritis of the Knee CPG | In June 2004, the U.S. Food and Drug Administration Orthopaedic Advisory Panel recommended the reclassification of mobile-bearing knee systems for general use. This reflects the increasing use of mobile-bearing knee systems internationally, which is currently limited in the United States by regulatory requirement. Mobi... |
0 | Association between changes in global femoral offset after total hip arthroplasty and function, quality of life, and abductor muscle strength | PJI DX Updated Search | Background and purpose - There is no consensus on the association between global femoral offset (FO) and outcome after total hip arthroplasty (THA). We assessed the association between FO and patients reported hip function, quality of life, and abductor muscle strength.Patients and methods - We included 250 patients wi... |
0 | Concepts on correction of the musculoaponeurotic layer in abdominoplasty | Panniculectomy & Abdominoplasty CPG | The musculoaponeurotic layer of the abdominal wall should be corrected during abdominoplasty according to the specific deformity that the patient presents with. In this article, the anatomic basis of deformities and defects of the abdominal wall is described. Different degrees of deformities secondary to pregnancy are ... |
0 | Mortality in intertrochanteric fracture of the femoral neck | Management of Hip Fractures in the Elderly | The mortality during the first year after operation was studied in 209 patients with intertrochanteric fracture of the femoral neck, all treated with osteosynthesis. The excess mortality due to the fracture and operation proved to be about 20 per cent. Among the great majority of patients who did not have significant c... |
0 | Distal forearm fractures in children. Complications and surgical indications | DOD - Acute Comp Syndrome CPG | Appropriate indications for operative management of pediatric distal forearm fractures include: 1. Compartment syndrome for fasciotomy. 2. Open fractures for irrigation and debridement. 3. Soft tissue/nerve entrapment. 4. Displaced intra-articular physeal fractures. 5. Displaced or angulated fractures when the patient ... |
1 | Management of Gigantomastia: Outcomes of Superomedial Pedicle with Vertical Scar or Wise Pattern Skin Excision | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: Gigantomastia is a rare condition characterized by excessive breast growth and can be physically and psychosocially disabling for the patient. Regarding management of gigantomastia, this study evaluates the outcomes of superomedial pedicle with vertical scar or wise pattern skin excision.
METHODS: A total o... |
0 | Balance is an important predictive factor for quality of life and function after primary total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | We investigated the extent to which improved balance relative to pain relief correlates with the success of total knee replacement (TKR). A total of 81 patients were recruited to the study: 16 men (19.8%) and 65 women (80.2%). Of these, 62 patients (10 men, 52 women) with a mean age of 73 (57 to 83) underwent static an... |
0 | Leg position influences early blood loss and functional recovery following total knee arthroplasty: A randomized study | PJI DX Updated Search | BACKGROUND: Hidden blood loss is a major factor influencing functional recovery and quality of life in patients undergoing total knee arthroplasty. Special hip and knee flexion positions after have been reported to have promising results with respect to reducing perioperative blood loss. The purpose of this study was t... |
0 | Amoxycillin-resistant streptococci in dental plaque | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | This investigation was undertaken to study the prevalence of amoxycillin-resistant oral streptococci in normal healthy patients and patients with a cardiac condition, susceptible to infective endocarditis. Samples of supragingival dental plaque were collected from two test groups, children with congenital heart disease... |
0 | Outcomes Of Distal Femur Fracture Treated With Dynamic Condylar Screw | Hip Fx in the Elderly 2019 | BACKROUND: Implants for open reduction and internal fixation of distal femoral fracture includes angle blade plate, rush nails, enders nail and interlocking nails. But all these devices are technically demanding and less effective in providing inter-fragmentary compression in osteoporotic bones. These problems can be s... |
0 | The Northwestern Abdominoplasty Scar Model: A Tool for High-Throughput Assessment of Scar Therapeutics | Panniculectomy & Abdominoplasty CPG | Significance: Scar management is an important concern in plastic surgery. Scar models that best mimic in vivo human scarring are essential for understanding scar development and progression, assessing the efficacy of therapeutics, and providing reliable and valid research outcomes. Recent Advances: In 2016, Lanier et a... |
0 | Sleep disturbance and melatonin levels following traumatic brain injury | DoD PRF (Psychosocial RF) | OBJECTIVES: Sleep disturbances commonly follow traumatic brain injury (TBI) and contribute to ongoing disability. However, there are no conclusive findings regarding specific changes to sleep quality and sleep architecture measured using polysomnography. Possible causes of the sleep disturbances include disruption of c... |
1 | The efficacy and safety of methylprednisolone for pain control after total knee arthroplasty: A meta-analysis of randomized controlled trials | AAHKS (2) Corticosteroids | BACKGROUND: Pain management after arthroplasties has become a serious problem. We perform a meta-analysis from randomized controlled trial (RCTs) to examine the efficacy and safety of methylprednisolone in the setting of postoperative pain after total knee arthroplasty (TKA).
METHODS: We conduct electronic searches of ... |
0 | Why is zoledronic acid (Z) superior to pamidronate (P) for bone metastases from breast cancer (BC) but equivalent in multiple myeloma (MM) | MSTS 2018 - Femur Mets and MM | No. 187] |
1 | Free nipple graft reduction mammoplasty | Reduction Mammoplasty for Female Breast Hypertrophy | Free nipple graft reduction mammoplasty is the procedure of choice in patients with massive breast hypertrophy, or those high-risk patients less able to undergo a more extensive procedure. A major criticism of the technique is that it creates a flat, boxy breast that lacks projection. A technical modification of free n... |
0 | Is arthroplasty preferable to internal fixation for the treatment of extracapsular fracture of the upper femur in the elderly? | DoD SSI (Surgical Site Infections) | INTRODUCTION: Although internal fixation is the reference treatment for extracapsular fracture of the upper femur, indications for arthroplasty are broadening, especially in unstable comminutive fracture in fragile bone. The present study hypothesis was that arthroplasty reduces early mortality and morbidity and provid... |
0 | The efficacy of tourniquet release in blood conservation after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | One hundred consecutive primary total knee arthroplasties performed by a single surgeon were prospectively randomized into two groups to study the effect of tourniquet release for hemostasis on postoperative blood loss and transfusion requirements. The two groups were comparable. Variables such as antiinflammatory drug... |
0 | Chronic low back pain in older adults: prevalence, reliability, and validity of physical examination findings | Management of Hip Fractures in the Elderly | OBJECTIVES: To develop a structured physical examination protocol that identifies common biomechanical and soft-tissue abnormalities for older adults with chronic low back pain (CLBP) that can be used as a triage tool for healthcare providers and to test the interobserver reliability and discriminant validity of this p... |
0 | Total hip arthroplasty in the treatment of degenerative disorders in rural and urban patients â?? A retrospective, randomised and controlled study | Developmental Dysplasia of the Hip 2020 Review | Introduction. Farming is hard work which may lead to overstrain and osteoarthritis of the hip and knee. Hip osteoarthritis has been rarely discussed in the Polish literature. Objective. The objective of the study was to determine the differences in hip osteoarthritis in urban and rural patients. The differences concern... |
1 | Autologous platelet gel in total knee arthroplasty: a prospective randomized study | PRP (Platelet-Rich Plasma) | PURPOSE: Total knee arthroplasty (TKA) is often associated with major postoperative blood loss, postoperative pain, and impaired wound healing. The application of autologous platelet gel (APG), prepared from the buffy coat of a unit of autologous blood, has been advocated to improve haemostasis after surgery, to decrea... |
0 | Comparison of 3,000 and 5,000 IU aXa/day certoparin in the prevention of deep-vein thrombosis after total hip replacement | PJI DX Updated Search | Background: The aim was to investigate, whether 5,000 IUaXa/day certoparin lowers the incidence of deep vein thrombosis (DVT) in patients undergoing elective hip replacement surgery vs. 3,000 IUaXa/day. Double-blind, multicenter, randomised trial in 500 patients. Primary endpoint: incidence of symptomatic or asymptomat... |
0 | Evaluation of distal femoral rotational alignment with spiral ct scan before total knee arthroplasty (a study in iranian population) | Pediatric Supracondylar Humerus Fracture 2020 Review | Background: Evaluating the landmarks for rotation of the distal femur is a challenge for orthopedic surgeons. Although the posterior femoral condyle axis is a good landmark for surgeons, the surgical transepicondylar axis may be a better option with the help of preoperative CT scanning. The purpose of this study was to... |
0 | Perioperative complications of HINTEGRA total ankle replacement: our initial 50 cases | DoD SSI (Surgical Site Infections) | BACKGROUND: The purpose of the present study was to report the perioperative complications that occurred among our initial 50 consecutive cases of HINTEGRA total ankle replacement.
MATERIALS AND METHODS: This was a retrospective study of 50 cases composed of 30 men and 18 women of average age 57 years. Perioperative co... |
0 | Current trends in breast reduction | Reduction Mammoplasty for Female Breast Hypertrophy | Results of our study describe the long term effects of reduction mammaplasty. Many women with excessively small or large breasts have an altered personal self-image and often suffer from low self-esteem and other psychological stresses. This procedure is designed to reduce and reshape large breasts, and since the size,... |
1 | Incidence and risk factors for preoperative deep venous thrombosis in 314 consecutive patients undergoing surgery for spinal metastasis | MSTS 2022 - Metastatic Disease of the Humerus | Objective: The authors of this study aimed to identify the incidence of and risk factors for preoperative deep venous thrombosis (DVT) in patients undergoing surgical treatment for spinal metastases. Methods: Univariate analysis of patient age, sex, ethnicity, laboratory values, comorbidities, preoperative ambulatory s... |
0 | The subchondral bone plate | AMP (Acute Meniscal Pathology) | Pauwels (1965) and subsequent workers in the same field have shown that the distribution of the subchondral density within a joint surface can serve as a parametric measurement which reflects the main stress acting on a joint. Our own investigations on anatomical specimens have demonstrated that this subchondral minera... |
0 | Current meniscal allograft transplantation | AMP (Acute Meniscal Pathology) | Meniscal allograft transplantation is now gradually transforming from an interesting alternative in meniscal restoration algorithms to a reliable treatment of unicompartmental knee pain after meniscectomy. The past decade has allowed refinements in sizing, preservation, and fixation of the meniscal allograft. Current t... |
1 | Carpal tunnel syndrome: a case-control study evaluating its relationship with body mass index and hand and wrist measurements | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This case-control study investigated the associations between the body mass index (BMI), hand and wrist measurements and carpal tunnel syndrome (CTS). The hands and wrists of 50 patients with CTS and 50 age- and sex-matched controls were measured. The right and left wrist indices (wrist depth/wrist width) were signific... |
0 | Complex distal radius fractures in young patients. Comparison between external fixator and volar plate | Distal Radius Fractures | BACKGROUND: Distal radius fractures in young, workingâ?age patients are frequent and are associated with potential disability in case of inappropriate treatment. Our hypothesis is that there is no difference between patients treated with a volar plate and those treated with closed reduction and external fixation. METH... |
0 | Shoulder Conditions: Clavicle and Acromioclavicular Joint Conditions | Pediatric Supracondylar Humerus Fracture 2020 Review | The clavicle is the most commonly fractured bone, and the most frequently fractured part of the clavicle is the middle third (ie, midshaft). X-ray usually is the first-line imaging modality for clavicle injuries. Conservative management is preferred for patients with uncomplicated and nondisplaced clavicular fractures.... |
0 | First eye cataract surgery and hospitalization from injuries due to a fall: A population-based study | Management of Hip Fractures in the Elderly | Objectives To assess the association between first eye cataract surgery and hospitalization from injuries due to a fall in older adults at the population level. Design Retrospective population-based study. Setting Western Australian Hospital Morbidity Data System and Western Australian mortality data. Participants Six ... |
0 | Favorable results after total wrist arthroplasty | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Background and purpose During the past 40 years, several attempts have been made with total wrist arthroplasty to avoid fusion in severely destroyed wrists. The results have often been disappointing. There is only modest clinical documentation due to the small number of patients (especially non-rheumatoid cases) and sh... |
0 | Triplex US in the diagnosis of asymptomatic deep venous thrombosis | Management of Hip Fractures in the Elderly | PURPOSE: To evaluate the accuracy of triplex ultrasound (TUS) compared with venography as a screening test for deep venous thrombosis (DVT), and to evaluate interobserver variation in the interpretation of the venographic studies. MATERIAL AND METHODS: A total of 133 postoperative hip fracture patients, asymptomatic of... |
1 | Median mixed and sensory nerve conduction studies in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To assess the sensitivities and specificities of velocity differences between median mixed nerve conduction across the wrist (Medmxpw) and (I) median mixed nerve conduction in the forearm (Medmxf) and (II) palm to D2 sensory conduction (MedpD2). DESIGN AND METHODS: We prospectively studied 67 limbs of patien... |
0 | Effect of time-to-surgery on in-house mortality during orthogeriatric treatment following hip fracture: A retrospective analysis of prospectively collected data from 16,236 patients of the AltersTraumaRegister DGU R | Hip Fx in the Elderly 2019 | BACKGROUND: Time-to-surgery in geriatric hip fractures remains of interest. The majority of the literature reports a significantly decreased mortality rate after early surgery. Nevertheless, there are some studies presenting no effect of time-to-surgery on mortality. The body of literature addressing the effect of an o... |
1 | Ultrasound-Guided Prolotherapy with Polydeoxyribonucleotide for Painful Rotator Cuff Tendinopathy | Trial Systematic Review Project | Background. Rotator cuff tendinopathy is a primary cause of shoulder pain and dysfunction. Several effective nonsurgical treatment methods have been described for chronic rotator cuff tendinopathy. Prolotherapy with polydeoxyribonucleotide (PDRN), which consists of active deoxyribonucleotide polymers that stimulate tis... |
1 | Dynamic definition mini-lipoabdominoplasty combining multilayer liposculpture, fat grafting, and muscular plication | Panniculectomy & Abdominoplasty CPG | BACKGROUND: There is a select group of women for whom mini-abdominoplasty techniques combined with 3-dimensional liposculpture and fat grafting can effectively correct postpartum deformities. OBJECTIVE: The authors describe a multilayer and 360-degree approach, dynamic definition mini-abdominoplasty (DDM), to create at... |
0 | A new dimension to outcome: application of the Bath Ankylosing Spondylitis Radiology Index | Management of Hip Fractures in the Elderly | Our aim was to develop a reproducible and simple radiological scoring system for ankylosing spondylitis (AS) to use in cross sectional and prospective studies. Regarding validation of the BASRI (Bath Ankylosing Spondylitis Radiology Index), radiographs of 470 patients with AS were scored using the New York criteria for... |
0 | The 5 and 11 Factor Modified Frailty Indices are Equally Effective at Outcome Prediction Using TQIP | Hip Fx in the Elderly 2019 | BACKGROUND: The 5-factor modified frailty index (mFI-5) and the 11-factor modified frailty index (mFI-11) are equally effective in predicting adverse outcomes in the American College of Surgeons National Surgical Quality Improvement Program database. The similarly structured American College of Surgeons Trauma Quality ... |
0 | Extensor mechanism repair failure with use of bidirectional barbed suture in total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | Total knee arthroplasty (TKA) continues to advance as innovative devices become available. #2 PDO Quill SRS (Angiotech, Reading, Pa) bidirectional barbed suture was used for 161 primary TKAs at our facility. We report on 3 separate cases of extensor mechanism repair failure after primary TKA in which a barbed suture wa... |
0 | Achromatic doublet intraocular lens for full aberration correction | Upper Eyelid and Brow Surgery | A doublet intraocular lens optimized for both chromatic and monochromatic aberration correction in pseudophakic eyes is presented. Ray-tracing techniques were applied to design the lens in white light within a chromatic eye model. Combinations of two materials, already commonly used in intraocular lenses, as acrylic an... |
0 | Suture Anchor Refixation of Meniscal Root Tears Without an Additional Portal | OAK 3 - Non-arthroplasty tx of OAK | The biomechanical consequences of a tear of the posterior root of the medial meniscus are comparable to that of a complete meniscectomy. The integrity of the meniscal roots is crucial to enable the important function of load sharing and shock absorption. An untreated root tear leads to extrusion and loss of function of... |
1 | Osteoarthritis year in review 2017: rehabilitation and outcomes | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVE: The purpose of this systematic review was to describe studies examining rehabilitation for people with osteoarthritis (OA) and to summarize findings from selected key systematic reviews (SRs) and randomized controlled trials (RCTs).
DESIGN: A systematic search was performed using Pubmed, Embase and Cochrane ... |
0 | Bone histology at autopsy and matched bone scintigraphy findings in patients with hormone refractory prostate cancer: the effect of bisphosphonate therapy on bone scintigraphy results | MSTS 2018 - Femur Mets and MM | Bisphosphonates (BisP) are non-metabolized compounds with high bone affinity used in bone metastasis diagnosis and treatment. Currently, BisP are used to treat hypercalcemia of malignancy as well as to prevent, minimize, or delay skeletal morbidity. These compounds have a long half-life in bone. Thus long-term BisP tre... |
0 | In-hospital mortality and unintentional falls among older adults in the United States | Hip Fx in the Elderly 2019 | Purpose of the Study: To estimate the odds of death associated with documented unintentional falls and acute care hospitalization among older adults in the United States. Design and Method: Data were abstracted from the 2005 Nationwide Inpatient Sample (NIS) and odds of death were modeled using logistic regression. Res... |
0 | Management of osteoarthritis of the knee by primary care physicians | AAHKS (4) Acetaminophen | BACKGROUND: Most patients with osteoarthritis (OA) are treated by primary care physicians (in this article, primary care physicians are family physicians and general internists).
OBJECTIVE: To describe and compare the self-reported practice patterns of family physicians and general internists for the evaluation and man... |
0 | Incidence of positive intraoperative allograft cultures used in knee ligament reconstruction | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Soft-tissue allografts are valuable options in knee ligament reconstructive surgery. The purpose of this study was to determine the risk of soft-tissue contamination before implantation and the occurrence of infection after implantation in patients who received soft-tissue allografts for knee reconstructive procedures.... |
0 | Treatment of multiple myeloma with etidronate: results of a multicentre double-blind study. Groupe d'Etudes et de Recherches sur le Myelome (GERM) | MSTS 2018 - Femur Mets and MM | OBJECTIVES: Because osteoclastic bone resorption is stimulated in multiple myeloma, we evaluated the efficacy of etidronate in this disease, in a multicentre controlled study.
METHODS: Ninety-four previously untreated patients with stage II or III multiple myeloma received, in addition to the same chemotherapy, 10 mg/k... |
1 | Choice of desflurane or propofol for the maintenance of general anesthesia does not affect the risk of periprocedural myocardial damage in patients undergoing transfemoral transcatheter aortic valve implantation | Hip Fx in the Elderly 2019 | Purpose: This study aimed to reveal whether the occurrence of periprocedural myocardial damage (PMD) decreases in patients who received volatile anesthetics to maintain general anesthesia compared with those who received propofol during transcatheter aortic valve implantation (TAVI). Methods: We included one hundred an... |
0 | Vertical Sculpted Pillar Reduction Mammaplasty in 317 Patients: Technique, Complications, and BREAST-Q Outcomes | Panniculectomy & Abdominoplasty CPG | Background The senior author (JCG) has described the vertical sculpted pillar breast reduction. Objectives This manuscript aimed to compare this technique's safety profile to other established techniques via complication rate reporting. Few studies have utilized the BREAST-Q for long-term outcomes reporting in bilatera... |
1 | Motor unit number estimation and motor unit action potential analysis in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | OBJECTIVE: To evaluate the clinical significance of motor unit number estimation (MUNE) and quantitative analysis of motor unit action potential (MUAP) in carpal tunnel syndrome (CTS) according to electrophysiologic severity, ultrasonographic measurement and clinical symptoms. METHOD: We evaluated 78 wrists of 45 patie... |
0 | Immediate intramedullary flexible nailing of open pediatric tibial shaft fractures | DoD SSI (Surgical Site Infections) | BACKGROUND: Flexible nailing has become the preferred implant for pediatric patients with tibial shaft fractures that require operative fixation. Immediate definitive fracture fixation with flexible nails in patients with high-energy, open fractures has not been examined. The purpose of our study was to determine if im... |
0 | Carpal tunnel syndrome and motor vehicle accidents | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome can result from acute injury, as indicated by a retrospective study. Symptoms of carpal tunnel syndrome developed in 96 patients within 2 months after an automobile accident. Forty-four (46%) of these 96 patients underwent carpal tunnel release. It is postulated that the mechanism of injury is bl... |
0 | Salvaging the Infected Breast Tissue Expander: A Standardized Multidisciplinary Approach | PJI DX Updated Search | BACKGROUND: Infections of breast tissue expander (TE) are complex, often requiring TE removal and hospitalization, which can delay further adjuvant therapy and add to the overall costs of breast reconstruction. Therefore, to reduce the rate of TE removal, hospitalization, and costs, we created a standardized same-day m... |
0 | Postoperative pain management after total knee arthroplasty in elderly patients: treatment options | AAHKS (8) Anesthetic Infiltration | Total knee arthroplasty (TKA) is a common surgical procedure in the elderly and is associated with severe pain after surgery and a high incidence of chronic pain. Several factors are associated with severe acute pain after surgery, including psychological factors and severe preoperative pain. Good acute pain control ca... |
0 | Risk of SARS-CoV-2 transmission to medical staff and patients from an exposure to a COVID-19-positive ophthalmologist | Coronavirus Disease 2019 (COVID-19) | PURPOSE: To evaluate the risk of transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) after exposure to a COVID-19+ physician in a retina clinic. METHODS: A retrospective observational study. Records of 142 patients and 11 staff members from a single retina clinic that were exposed to a COVI... |
0 | Extensor mechanism allografts in total knee arthroplasty | DoD LSA (Limb Salvage vs Amputation) | Forty knees in 40 patients who had a chronic extensor mechanism disruption after knee arthroplasty underwent extensor mechanism allograft placement to restore extensor function. Thirteen knees were infected previously and 11 knees did not respond to previous attempts at direct extensor repair or reconstruction. Two pat... |
0 | Use of protective eyewear in U.S. children: Results from the National Health Interview Survey | DoD PRF (Psychosocial RF) | Purpose: To study use of protective eyewear in children who participated in activities that can cause eye injury. Methods: National Health Interview Survey (NHIS) data from 2002 were used to analyze protective eyewear use by children who participated in activities that can cause eye injury. Weighted percentages and 95%... |
0 | A randomized comparative evaluation of two approaches for posterior lumbar plexus block using real time ultrasound guidance-a pilot study | Surgical Management of Osteoarthritis of the Knee CPG | Introduction: Lumbar plexus block (LPB) is a well accepted method for post operative analgesia in patients undergoing lower limb surgery. Karmakar et al reported an approach using an paramedian in-plane ultrasound probe in a case series of 5 patients. They found it impossible to visualize the whole path of the needle w... |
0 | Clinical phase I/II trial of SVF therapy for cartilage regeneration: a cellular therapy with novel 3D MRI imaging for evaluating chondral defect of knee osteoarthritis | AMP (Acute Meniscal Pathology) | Background: The clinical applications of stromal vascular fraction (SVF) therapy for osteoarthritis (OA) have attracted academic and clinical attention. However, data of the effects of stromal vascular fraction therapy on regeneration of degenerated cartilage are limited in the literature. Meanwhile, there is a great n... |
0 | Warm needle acupuncture vs. needle acupuncture for osteoarthritis of the knee: A pilot study protocol | OAK 3 - Non-arthroplasty tx of OAK | Introduction Acupuncture has been shown to have clinically relevant benefits for chronic pain. However, interpretation of the results and whether they are due to the placebo effect remains contested. As a complex physical intervention acupuncture presents particular problems in clinical research that seeks to identify ... |
0 | Prognostic factors in lateral epicondylitis: a randomized trial with one-year follow-up in 266 new cases treated with minimal occupational intervention or the usual approach in general practice | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | OBJECTIVES: To determine whether minimal intervention by occupational specialists involving information about the disorder, encouragement to stay active and instruction in graded self-performed exercises could enhance the prognosis of lateral epicondylitis compared with the treatment usually given in general practice, ... |
0 | Predictors of physical activity in colorectal cancer survivors after participation in a telephone-delivered multiple health behavior change intervention | DoD PRF (Psychosocial RF) | PURPOSE: Physical activity improves the health outcomes of colorectal cancer (CRC) survivors, yet few are exercising at levels known to yield health benefits. Baseline demographic, clinical, behavioral, and psychosocial predictors of physical activity at 12 months were investigated in CRC survivors.
METHODS: Participan... |
0 | A simple technique for removing a locking compression plate with a stripped locking screw | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | We use a straightforward technique to remove a locking compression plate and a screw with a stripped hexagonal recess. If the hexagonal recess of the screw had been stripped during attempts at screw removal using a conical extraction device, we perform the following procedure after loosening the contact surface between... |
1 | An evidence-based review of enhanced recovery interventions in knee replacement surgery | AAHKS (8) Anesthetic Infiltration | INTRODUCTION: Total knee replacement (TKR) is a very common surgical procedure. Improved pain management techniques, surgical practices and the introduction of novel interventions have enhanced the patient's postoperative experience after TKR. Safe, efficient pathways are needed to address the increasing need for knee ... |
0 | The perceptions of pediatricians regarding their self-efficacy in child neglect and abuse | DoD PRF (Psychosocial RF) | Child abuse is one of the most severe forms of childhood trauma which has pervasive and long-lasting effects on children, their families, and the society. These effects, impairing the development of the victims, extend far beyond childhood into adolescence and adulthood. Pediatricians are the most common group of clini... |
0 | Effect of exercise therapy compared with arthroscopic surgery on knee muscle strength and functional performance in middle-aged patients with degenerative meniscus tears: a 3-mo follow-up of a randomized controlled trial | AMP (Acute Meniscal Pathology) | OBJECTIVE: The aim of this study was to compare the effect of a 12-wk exercise therapy program and arthroscopic partial meniscectomy on knee strength and functional performance in middle-aged patients with degenerative meniscus tears.
DESIGN: A total of 82 patients (mean age, 49 yrs; 35% women) with a symptomatic, unil... |
0 | Mosaicplasty for the treatment of articular defects of the knee and ankle | Surgical Management of Osteoarthritis of the Knee CPG | Efficacious treatment of full-thickness cartilage defects of the weightbearing surfaces is a multifaceted challenge for the orthopaedic surgeon. Autologous osteochondral transplantation represents one solution: to bring about a hyaline or hyalinelike repair of the defected area. The current authors discuss the experime... |
0 | Principles of external fixation and supplementary techniques in distal radius fractures | Distal Radius Fractures | External fixation for fractures of the distal radius has been used for almost 80 years. The main objective is to gain reduction and maintain the reduction throughout the treatment period. Several fixator concepts are available and selection is based on the complexity of the injury to be treated as well as the surgeon's... |
0 | Treatment Options After Failed Distal Radial Fracture Treatment (Salvage Procedures) | Distal Radius Fractures | The vast majority of distal radius fractures respond well to either nonsurgical or surgical treatment methods. Several fracture patterns, however, are known to be problematic. Failure to recognize their particular intricacies may result in the formation of fracture nonunions, malunions, wrist arthritis, and/or carpal i... |
0 | Passenger seating position and the risk of passenger death or injury in traffic crashes | DoD PRF (Psychosocial RF) | Objective: To estimate the association of passenger seat position with the risk of death and serious injury for passengers in traffic crashes. Methods: Using 1993-2000 data from the National Highway Traffic Safety Administration's Crashworthiness Data System (CDS), the risk ratio for death and serious injury was estima... |
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