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Salter-Harris type II proximal humerus injuries: state-of-the-art treatment
Pediatric Supracondylar Humerus Fracture 2020 Review
Proximal epiphyseal injuries of the humerus represent a very low percentage of traumatic growth pathologies, 5 % of all fractures during childhood. In the literature, there have been only a limited number of clinical studies investigating these injuries, basically from an epidemiological point of view, focusing on the ...
0
Complications of posterior cruciate ligament surgery
DoD - ACS - Interrater Reliability
In addition to standard risks associated with all orthopedic surgical procedures, posterior cruciate ligament (PCL) reconstruction poses some relatively unique potential complications. These complications arise from a combination of several factors: the relative infrequency of PCL injuries, the lack of knowledge and ex...
1
Chemokine Expression in Neutrophils and Subcutaneous Adipose Tissue Cells Obtained during Abdominoplasty from Patients with Obesity and Normal Body Weight
Panniculectomy & Abdominoplasty CPG
The study was aimed at assessing the role of chemokines in inflammatory changes in tissue following abdominoplasty. The levels of neutrophil-coupled chemokines and their receptors in the serum and blood cells, as well as in cells isolated from the subcutaneous adipose tissue sampled during abdominoplasty were compared ...
0
A fresh osteochondral allograft alternative
AMP (Acute Meniscal Pathology)
Fresh osteochondral allografts were used for post-traumatic knee defects >3 cm in diameter and 1 cm in depth. Harvesting of the grafts was carried out within 24 hours of the death of the donor, and implantation into the recipient was carried out within 72 hours. The grafts were unipolar, fixed by screws, and combined w...
0
Physeal separation and complete resorption of femoral head associated with chronic osteomyelitis of femoral diaphysis in a young child: rare case report
Pediatric Diaphyseal Femur Fractures 2020 Review
We report the case of a two and a half-year-old girl who presented with injury to the right thigh along with a discharging sinus in the midthigh region following a nonorthopaedic surgical procedure. Radiographs of the thigh indicated osteomyelitis of the femoral diaphysis with pathological fracture. During follow-up ex...
0
Global Perspectives on Arthroplasty of Hip and Knee Joints
OAK 3 - Non-arthroplasty tx of OAK
There is a broad variation of implantation rates, indications, and types of prostheses used for hip and knee joint replacement procedures among different countries. The establishment of national joint registers has improved knowledge and quality of data related to joint implantation. Comparing reports of different nati...
0
Alendronate improves screw fixation in osteoporotic bone
Management of Hip Fractures in the Elderly
BACKGROUND: Animal studies have demonstrated the efficacy of the use of bisphosphonates to enhance screw fixation in bone. In this prospective, randomized study of pertrochanteric fractures treated with external fixation, we tested whether systemic administration of bisphosphonates would improve the fixation of hydroxy...
0
Relationship between osteoarthrosis and osteoporosis. An experimental and clinical study
Management of Hip Fractures in the Elderly
The authors conducted two studies to demonstrate the presence of a relationship between osteoporosis and arthrosis: the first study was experimental involving thirty femoral heads removed during hip arthroplasty, and the second was a clinical study conducted on forty patients with coxarthrosis. The results obtained con...
0
Metabolic abnormality and the proinflammatory state following hip joint surgery
AAHKS (2) Corticosteroids
Hip surgery is one of the most commonly performed operations in adult orthopedics. A significant proportion of patients undergoing hip surgery are at considerable risk for postoperative complications secondary to age-related medical issues and the morbidity and mortality associated with hip fractures. Inflammation has ...
0
The free vascularized fibular epiphyseal transfer: Long-term results of wrist reconstruction in young patients
DoD LSA (Limb Salvage vs Amputation)
To date, the dominant blood supply to the head of the fibula and to the growth plate is known to be the anterior tibial artery. The peroneal artery had been used before, among other donor pedicles, for microvascular transfers of this epiphyseal region. This study presents the long-term results of this now obsolete pedi...
0
(18) F-fluorodeoxyglucose positron emission tomography/computed tomography for the detection of recurrent bone and soft tissue sarcoma
MSTS AUC - Based on ACR Lit Review
BACKGROUND: The clinical utility of modern hybrid imaging modalities for detecting recurrent bone or soft tissue sarcoma remains to be determined. In this report, the authors present a clinical study on the diagnostic accuracy and incremental value of integrated (18) F-fluorodeoxyglucose positron emission tomography/co...
1
The posterolateral approach to the distal humerus for open reduction and internal fixation of fractures of the lateral condyle in children
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Our study describes a posterolateral approach to the distal humerus for open reduction and internal fixation of displaced fractures of the lateral condyle. A total of 20 patients had open reduction and internal fixation over a four-year period using this approach, and at a mean follow-up of 12 months had full union, ra...
0
Long-term results of low contact stress mobile-bearing total knee replacements
AMP (Acute Meniscal Pathology)
Five hundred ninety-eight consecutive primary low contact stress total knee replacements were done in 502 patients between 1985 and 1990. Clinical review was available for 495 knees (406 patients), 228 knees with meniscal-bearing prostheses and 267 knees with rotating-platform prostheses. The average followup was 12 ye...
0
The efficacy of periarticular multimodal drug infiltration in total hip arthroplasty
AAHKS (4) Acetaminophen
Background: Patient-controlled analgesia is a widely used and effective method of controlling pain after THA. This method is associated with substantial undesirable side effects. Local infiltration has been introduced in an attempt to reduce opioid requirements postoperatively, but its ability to reduce pain without co...
0
The older worker with osteoarthritis of the knee
SR for PM on OA of All Extremities
BACKGROUND: Changing demographics mean that many patients with large joint arthritis will work beyond traditional retirement age. This review considers the impact of knee osteoarthritis (OA) on work participation and the relation between work and total knee replacement (TKR). SOURCES: Two systematic searches in Embase ...
0
Temperature of the human knee - A review
SR for PM on OA of All Extremities
BACKGROUND: Temperature measurement of the knee joint has a long tradition in medical thermometry. However, neither a standard for recording knee temperature nor agreed values of knees in healthy subjects or in articular disease are available. AIM OF THE STUDY: To compute available data on knee temperature from the lit...
0
Mesenchymal stem cells for subchondral bone marrow lesions: From bench to bedside
Osteochondritis Dissecans 2020 Review
Subchondral bone marrow lesions (BMLs) are areas of disease within subchondral bone that appear as T1 hypointense and T2 hyperintense ill-defined areas of bone marrow on magnetic resonance imaging. The most common bone marrow lesions include subchondral lesions related to osteoarthritis, osteochondral defects, and avas...
0
No difference in blood loss between posterior-cruciate-ligament-retaining and posterior-cruciate-ligament-stabilized total knee arthroplasties
OAK 3 - Non-arthroplasty tx of OAK
PURPOSE: Posterior-cruciate-ligament-retaining (PCR) and posterior-cruciate-ligament-stabilized (PS) arthroplasties are two major common practices in total knee arthroplasty (TKA). The hypothesis of the present study was that compared with the PCR technique, the PS technique is associated with a higher amount of postop...
1
Outcomes of Nonoperative Treatment of Salter-Harris II Distal Radius Fractures: A Systematic Review
Distal Radius Fractures
BACKGROUND: Despite the frequent occurrence of these injuries, we know little about the natural history of Salter-Harris II (SH II) distal radius fractures. We conducted a systematic review of studies examining the radiographic and clinical outcomes of nonoperatively managed SH II distal radius fractures. METHODS: Syst...
1
Effect of glenoid cementation on total shoulder arthroplasty for degenerative arthritis of the shoulder: a review of the New Zealand National Joint Registry
Glenohumeral Joint OA
BACKGROUND: Despite the lack of literature showing improved results compared with cemented designs, uncemented glenoid components are still commonly used in total shoulder arthroplasty (TSA). Most studies comparing cemented with uncemented glenoids involve small numbers or include patients with inflammatory arthritis. ...
0
Vascular trauma and compartment syndromes
DOD - Acute Comp Syndrome CPG
Vascular injuries produce ischemia, and their repair produces reperfusion. Ischemia and reperfusion produce compartment syndrome. Although a local event, a compartment syndrome risks not only the affected extremity, but also the life of the patient. A high index of suspicion coupled with adequate knowledge of subtle cl...
0
Clinician-led surgical site infection surveillance of orthopaedic procedures: a UK multi-centre pilot study
Management of Hip Fractures in the Elderly
The UK Department of Health established the Healthcare-associated Infection (HAI) Surveillance Steering Group in 2000 to develop a strategy for implementing a national programme for HAI surveillance in National Health Service trusts. A subgroup of this committee examined the surveillance of surgical site infections fol...
0
Early experience about Anteversa(registered trademark) plate for lateral femur fractures
HipFx Supplemental Cost Analysis
Introduction. The hip fractures appear to be a real epidemic problem, especially in the western world, due primarily to higher average age. The social and economical impact is considerable with a continue social and health costs up-rising. The female-male ratio is approximately 8:1. Purpose. The purpose of this report ...
0
Face Validity and Content Validity of a Game for Distal Radius Fracture Rehabilitation
Pediatric Supracondylar Humerus Fracture 2020 Review
Background â??Patients recovering from a variety of wrist injuries are frequently advised to exercise to regain lost wrist and hand function. Treatment regimens to regain motion in the wrist are highly variable, and adherence to exercise protocols is known to be low. A serious game ReValidate! incorporating standardize...
0
Hand ischemia associated with elbow trauma in children
DoD SSI (Surgical Site Infections)
OBJECTIVES: Previous observational studies suggest that children with hand ischemia following elbow trauma can be safely observed if Doppler signals are present in the wrist arteries (pink pulseless hand, PPH). Nonoperative management of PPH is predicated on the assumption that PPH results from local arterial spasm, bu...
0
Constrained Liners Implanted Simultaneously at the Time of Acetabular Shell Revision with a Highly Porous Implant: Surprisingly Good Fixation at 10 Years
Hip Fx in the Elderly 2019
BACKGROUND: Many surgeons are reluctant to use a constrained liner at the time of acetabular component revision because of concerns that doing so might result in early acetabular component loosening related to high bone-implant interface stresses transmitted from the constrained liner. We hypothesized that, with approp...
0
0414 Cumulative mercury exposure and peripheral nerve function in a sample of U.S. dental professionals
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
OBJECTIVES: To calculate individual cumulative mercury exposures from a convenience sample of dental professionals and measure the effect on peripheral nerve function. METHOD: Participants attended the American Dental Association's (ADA) conventions held from 1997-2006. Individual surveys were completed and measurement...
0
MR imaging of the knee in marathon runners before and after competition
AMP (Acute Meniscal Pathology)
OBJECTIVE: To evaluate the findings in MRI-studies of the knee in recreational long-distance runners after competition and to assess the reversibility of the findings. DESIGN AND PATIENTS: Eight recreational long-distance runners underwent MRI studies of the knee before, immediately after and 6-8 weeks after taking par...
0
Orexigenic agents in geriatric clinical practice
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
The problem of involuntary weight loss (IWL) is more pronounced among elderly individuals with psychiatric ailments, with depression being the leading cause. The combination of precipitating factors such as multiple medical comorbidities, polypharmacy, depression and the cachexia of aging, which are unique to elderly p...
0
Extracranial skeletal metastases from an intracranial meningeal chondrosarcoma: case report
MSTS 2018 - Femur Mets and MM
This report describes a meningeal chondrosarcoma over the convexity of the brain with extracranial metastases to the left femur and pelvis.
1
Comparison of the efficacy of corticosteroid, dry needling, and PRP application in lateral epicondylitis
PRPs for Lateral Epicondylitis/Elbow Tendinopathies
PURPOSE: The aim of this study was to compare the short-term efficacy of dry needling, corticosteroids, and platelet-rich plasma application (PRP) in the management of lateral epicondylitis. METHODS: The study included 72 patients diagnosed with lateral epicondylitis divided into three groups of 24 individuals using th...
0
Post-traumatic knee osteoarthritis in the young patient: therapeutic dilemmas and emerging technologies
OAK 3 - Non-arthroplasty tx of OAK
Traumatic knee injury is common in young adults and strongly contributes to premature development of knee osteoarthritis (OA). Post-traumatic knee OA poses a therapeutic dilemma to the physician, since no known therapy has an acceptable safety profile, effectively relieves joint pain, and enjoys reasonable patient acce...
0
Bone and nerve injuries due to birth trauma
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
An incidence of 3.02 per 1000 live births for fractures and nerve injuries was observed among 26,852 consecutive live born babies over the last decade. Fractures constituted 51.8 % and nerve injuries 48.2 % of total injuries studied. Amongst the fractures the bones involved were the clavicle (44.7 %), humerus (21.6 %),...
0
Long-term results of arthroscopic partial meniscectomy
AMP (Acute Meniscal Pathology)
Detailed analysis of a series of 99 arthroscopic partial meniscectomies with a minimum follow-up time of 2.1 years (mean, 3 years; maximum, 4.5 years) showed that the spectacularly good early results were maintained in the longer term. Group I knees (67) had no previous surgery or ligamentous insufficiency, but those w...
1
Body contouring following significant weight loss
Panniculectomy & Abdominoplasty CPG
Patients who have undergone the surgical correction of morbid obesity present a challenge for body contouring after their weight loss. They most often request improvement of their arms, breasts, abdomen, thighs, and repair of hernias. This chapter will explore one approach to these challenges.
0
Clinical findings in 2 techniques of spica casting in treatment of femoral shaft fractures in children
Pediatric Diaphyseal Femur Fractures 2020 Review
Background: Femoral shaft fracture is the most prevalent major orthopedic injury in children. Usually, we use two methods for spica casting for femoral shaft fractures. This survey aimed two compare them. Methods: This single�blind randomized clinical trial study was performed on the 35 2� to 6�years�old patien...
0
Closure of the femoral medullary canal after retrograde nailing using an in-situ osteochondral autograft-Technical trick and a case series
Osteochondritis Dissecans 2020 Review
Retrograde intramedullary nailing (RIMN) is the favored over antegrade intramedullary nailing in fractures of the distal femur. It provides a longer working length and allows for multiple distal screw insertion and therefore a more stable construct. Concerns remain regarding the violation of the knee cartilage and the ...
0
Update of multimodal pain management strategies for total knee arthroplasty
AAHKS (8) Anesthetic Infiltration
Total knee arthroplasty [TKA] has traditionally been one of the most painful orthopedic procedures. Postoperative pain control in the past depended on high doses of opioids, resulting in dizziness and nausea, delayed ambulation, and prolonged hospital stays. Over the last decade, multimodal pain control has been develo...
0
Impact of postoperative venous thromboembolism on Medicare recipients undergoing total hip replacement or total knee replacement surgery
Management of Hip Fractures in the Elderly
PURPOSE: The impact of postoperative venous thromboembolism (VTE) during initial hospitalization for total hip replacement (THR) or total knee replacement (TKR) surgery was assessed. METHODS: Using Medicare Provider Analysis and Review files, patients who underwent THR, TKR, or hip fracture surgery from 2005 to 2007 we...
0
Cathepsin D non-proteolytically induces proliferation and migration in human omental microvascular endothelial cells via activation of the ERK1/2 and PI3K/AKT pathways
MSTS 2018 - Femur Mets and MM
Epithelial ovarian cancer (EOC) frequently metastasises to the omentum, a process that requires pro-angiogenic activation of human omental microvascular endothelial cells (HOMECs) by tumour-secreted factors. We have previously shown that ovarian cancer cells secrete a range of factors that induce pro-angiogenic respons...
0
Can pain intensity in osteoarthritis joint be indicator of the impairment of endothelial function?
OAK 3 - Non-arthroplasty tx of OAK
We propose that pathological remodeling in joint tissues of osteoarthritis (OA) patients persistently stimulates local secretion of pro-inflammatory mediators, which overflow into the blood, activating leukocytes that impair endothelial function and accelerate the atherosclerotic process. During periods of pain, endoth...
1
Relative efficacy of hyaluronic acid in comparison with NSAIDs for knee osteoarthritis: a systematic review and meta-analysis
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To assess the relative efficacy of intra-articular hyaluronic acid (IAHA) in comparison with non-steroidal anti-inflammatory drugs (NSAIDs) for knee osteoarthritis (OA). METHODS: We searched Medline, EMBASE, Google Scholar, ISI Web of Science, and Cochrane Database from inception until February 2013. Randomi...
0
Risk factors for the effect of anticoagulant and antiplatelet agents on perioperative blood loss following proximal femoral fractures
Hip Fx in the Elderly 2019
To examine the effect of oral anticoagulant and antiplatelet agents on perioperative blood loss following proximal femoral fractures and to identify the risk factors associated with perioperative blood loss.Retrospective cross-sectional study. In a retrospective cross-sectional study, we treated 334 consecutive patient...
1
Effect of Intravenous Acetaminophen on Postoperative Opioid Consumption in Adult Orthopedic Surgery Patients
AAHKS (4) Acetaminophen
<b>Background</b>: Postoperative pain is managed with opioids, which are associated with adverse effects. The efficacy of intravenous (IV) acetaminophen in reducing opioid consumption has been studied with inconsistent results. The primary outcome of this study was to assess the effect of IV acetaminophen on opioid con...
0
Somatostatin receptors in non-neuroendocrine malignancies: The potential role of somatostatin analogs in solid tumors
MSTS 2018 - Femur Mets and MM
Somatostatin receptors (sstrs) are G-protein-coupled receptors that mediate various physiological effects when activated by the neuropeptide somatostatin or its synthetic analogs. In addition to the well-documented antisecretory effects of sstr2-preferential somatostatin analogs octreotide and lanreotide, ligand bindin...
1
A Trial of Wound Irrigation in the Initial Management of Open Fracture Wounds
DoD SSI (Surgical Site Infections)
BACKGROUND: The management of open fractures requires wound irrigation and debridement to remove contaminants, but the effectiveness of various pressures and solutions for irrigation remains controversial. We investigated the effects of castile soap versus normal saline irrigation delivered by means of high, low, or ve...
0
Microvasculature of the human medial meniscus: operative findings
AMP (Acute Meniscal Pathology)
The purpose of our study was to weigh the probability of a successful meniscus repair on the basis of the microvasculature of the human medial meniscus. In a series of 105 patients who underwent an anterior cruciate ligament reconstruction between January 1985 and December 1986, we chose the 40 patients who had a subto...
1
A randomized comparison of volar plate and external fixation for intra-articular distal radius fractures
Distal Radius Fractures
PURPOSE: To compare surgical outcomes of volar locking plates (VP) and external fixation (EF) (with or without intra-focal fixation) for AO-type C2 and C3 fractures of the distal radius. METHODS: From an initial group of 92 patients with AO-type C2 and C3 distal radius fractures who were enrolled in a prospective, rand...
0
Maternal diet-induced obesity during suckling period programs offspring obese phenotype and hypothalamic leptin/insulin resistance
Reduction Mammoplasty for Female Breast Hypertrophy
During the early post-natal period, offspring are vulnerable to environmental insults, such as nutritional and hormonal changes, which increase risk to develop metabolic diseases later in life. Our aim was to understand whether maternal obesity during lactation programs offspring to metabolic syndrome and obese phenoty...
0
Successful use of spinal anesthesia in a patient with severe Klippel-Trenaunay syndrome associated with upper airway abnormalities and chronic Kasabach-Merritt coagulopathy
Surgical Management of Osteoarthritis of the Knee CPG
Klippel-Trenaunay syndrome is a rare disorder characterized by the triad of capillary or cavernous hemangiomas, venous varicosities or malformations, and soft tissue or bone hypertrophy. Neuraxial anesthesia in patients with Klippel-Trenaunay syndrome has been infrequently described and has not been previously reported...
0
Infection in diabetic patients with ankle fractures
DoD LSA (Limb Salvage vs Amputation)
Between January 1992 to June 1993, 93 ankle fractures underwent surgical treatment, of which, 10 patients were diabetic and 83 were non-diabetic. Infection occurred in 5 patients and all belonged to the diabetic group. The average follow-up period of the infected cases was 16.2 months. Wound infection occurred in 4 pat...
1
Well Leg Compartment Syndrome After Abdominal Surgery
DOD - Acute Comp Syndrome CPG
BACKGROUND: Well leg compartment syndrome (WLCS) is a complication to abdominal surgery. We aimed to identify risk factors for and outcome of WLCS in Denmark and literature. METHODS: Prospectively collected claims to the Danish Patient Compensation Association (DPCA) concerning WLCS after abdominal operations 1996-2013...
0
A Cost-efficiency Analysis of Primary Assessors for Patients With Knee Pain in Primary Care
OAK 3 - Non-arthroplasty tx of OAK
Problem statements: What is the difference in cost efficiency between a healthcare process with a physical therapist as primary assessor and a physician as primary assessor for patients with suspected KOA? Which effect does a clinical pathway with a physical therapist as primary assessor for patients with suspected kne...
0
Intravenous dexamethasone fails to prolong psoas compartment block when assessed by objective pinprick sensory testing: a prospective, randomised, dose-dependent, placebo-controlled equivalency trial
AAHKS (8) Anesthetic Infiltration
BACKGROUND: Recent studies have concluded that i.v. dexamethasone can prolong the duration of peripheral nerve blockade. We hypothesized that a 4 mg dose would equally prolong the duration of psoas compartment blocks (PCBs) when compared with 8 mg, and that both doses would prolong the duration when compared with place...
1
Ultrasound diagnosis for preventing knee injuries in cuban high-performance athletes
AMP (Acute Meniscal Pathology)
Introduction Diagnostic evaluation of the musculoskeletal system has traditionally been based on medical history, physical examination, and x-rays (techniques that provide limited information), and more recently on computerized axial tomography and magnetic resonance imaging (both very expensive). Ultrasound, a non-inv...
0
Dupuytren's disease, carpal tunnel syndrome, trigger finger, and diabetes mellitus
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
A comparative prospective study of 120 adult diabetics (60 insulin dependent, 60 non-insulin dependent) and 120 non-diabetic adults as controls showed significantly higher incidence of Dupuytren's disease, limited joint motion, carpal tunnel syndrome, and flexor tenosynovitis in the diabetic population. Of the diabetic...
0
Compress periprosthetic fractures: interface stability and ease of revision
DoD LSA (Limb Salvage vs Amputation)
UNLABELLED: Periprosthetic fractures after massive endoprosthetic reconstructions pose a reconstructive challenge and jeopardize limb preservation. Compressive osseointegration technology offers the promise of relative ease of prosthetic revision, since fixation is achieved by means of a short intramedullary device. We...
0
Protease resistance and binding of Ig light chains in myeloma-associated tubulopathies
MSTS 2018 - Femur Mets and MM
Kidney tubule dysfunction and lesions are frequent complications of myeloma, related to unknown properties of the monoclonal light chain. We have analyzed protease sensitivity and binding properties of urinary light chains from four patients with Fanconi's syndrome, 12 with cast nephropathy, and four control patients w...
0
Strategies for the study of long-term sequelae of oral and facial injuries
DoD PRF (Psychosocial RF)
Measurement of morbidity after orofacial trauma is necessary to monitor progress and to enable decisions to be made concerning surgical intervention, compensation awards, and psychological support. Although some measurements are routinely made in the assessment of recovery after trauma, many are still in a developmenta...
0
The efficacy, tolerability, and safety of 1200 mg/d of oxaprozin and 1500 mg/d of nabumetone in the treatment of patients with osteoarthritis of the knee
OAK 3 - Non-arthroplasty tx of OAK
This 6�week, multicenter, double�masked, placebo�controlled study compared the efficacy, tolerability, and safety of the recommended starting dose of oxaprozin (1200 mg/d) and a 1500�mg/d dose of nabumetone in the treatment of patients with moderate�to�severe osteoarthritis (OA) of the knee. A total of 347 ...
0
Excimer laser-assisted femoral angioplasty: early results
DoD LSA (Limb Salvage vs Amputation)
The ability to ablate atheroma without generating heat makes the excimer laser wavelength a promising intraluminal technique for the treatment of arterial occlusive disease. This series reviews a preliminary experience treating patients with superficial femoral arterial disease admitted with limb-threatening ischemia o...
0
Stem cell transplantation for the treatment of osteochondral defects of the knee: operative technique for a single-stage transplantation procedure using bone marrow-derived mesenchymal stem cells
Osteochondritis Dissecans 2020 Review
Background: Autologous chondrocyte implantation (ACI) is a NICE-approved technique to regenerate hyaline cartilage in chondral and osteochondral defects (OCDs). The drawbacks of ACI include that it requires a two-stage approach, involves a lengthy rehabilitation process and is expensive. Bone marrow harvest with mesenc...
0
The scent of COVID-19: viral (semi-)volatiles as fast diagnostic biomarkers?
Coronavirus Disease 2019 (COVID-19)
The COVID-19 pandemic pressurizes the healthcare system. Protective measures against SARS-CoV-2 infection, like social distancing or isolation, are being taken too late and COVID-19 symptoms are non-specific and can resemble those from rhinoviral infection or influenza, causing a rush of anxious patients with (mild) sy...
0
Quantitative ultrasound measurements and vitamin D status in the assessment of hip fracture risk in a nationally representative population sample
Management of Hip Fractures in the Elderly
Adjusted for age, gender, height and weight, calcaneal quantitative ultrasound (QUS) and serum 25-hydroxyvitamin D (S-25(OH)D) proved to be significant predictors of hip fracture among subjects aged >/=50 years. Even if their contribution to the predictive power was modest, they may be useful in the assessment of hip f...
0
The independent, unfavorable prognostic factors endothelin A receptor and chemokine receptor 4 have a close relationship in promoting the motility of nasopharyngeal carcinoma cells via the activation of AKT and MAPK pathways
MSTS 2018 - Femur Mets and MM
BACKGROUND: Recent studies have indicated that the expression of endothelin A receptor (ETAR) and chemokine receptor 4 (CXCR4) could be used as an indicator of the metastatic potential of nasopharyngeal carcinoma (NPC). The aim of this study was to determine the prognostic value of ETAR and CXCR4 in NPC patients and to...
1
A comparison between medial meniscus repair, partial meniscectomy, and normal meniscus in anterior cruciate ligament reconstructed knees
Anterior Cruciate Ligament Injuries CPG
A clinical, radiographic, and scintigraphic comparative study was performed on 57 consecutive successful patellar tendon anterior cruciate ligament reconstructions for chronic laxity. Patients were divided into 3 matched groups according to the medial meniscal treatment. Group A included 18 patients with medial menisca...
1
The Effect of Hering's Law on Different Ptosis Repair Methods
Upper Eyelid and Brow Surgery
BACKGROUND: The Hering's law effect has significant importance in surgical planning and outcomes of eyelid surgery. OBJECTIVES: The current study examined the preoperative and intraoperative effect of Hering's law in Mullerectomy and levator aponeurosis advancement. METHODS: A retrospective analysis was conducted of 52...
0
The role of imaging in osteoarthritis
AMP (Acute Meniscal Pathology)
Osteoarthritis (OA) is the most prevalent joint disorder with no approved disease-modifying treatment available. The importance of imaging in assessing all joint structures involved in the disease process, including articular cartilage, meniscus, subarticular bone marrow, and synovium for diagnosis, prognostication, an...
0
Isokinetic evaluation of the wrist flexors and extensors in women with postmenopausal osteoporosis
Distal Radius Fractures
BACKGROUND: Distal radius fractures are the third most common fracture observed in osteoporotic patients. In addition, wrist muscle weakness may be a risk factor for such fractures because of the protective role these muscles play during falls. OBJECTIVE: The main objective was to explore isokinetic wrist muscle streng...
0
The effect of clindamycin gel insert in periodontal pockets, as observed on smears and cultures
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
This study is aimed at the evaluation of a 1% clindamycin hydrochloride containing gel on the microbial flora of periodontal pockets deeper than 5 mm. In order to achieve that purpose. 20 patients with pocketing in the premolar-molar regions were selected. Active and placebo gel were inserted once during the first 2 we...
0
Tibial plateau fractures treated with plate fixation: To lock or not to lock
DoD SSI (Surgical Site Infections)
Background: This retrospective study with follow-up was undertaken to compare postoperative results and functional outcomes of tibial plateau fractures treated with non-locking and locking plate fixation. Methods: Over a 5-year period, 60 tibial plateau fractures were treated with plate fixation. Fracture classificatio...
0
Use of orbicularis oculi muscle flap for undercorrected blepharoptosis with previous frontalis suspension
Upper Eyelid and Brow Surgery
The frontalis muscle and its fascia are connected with the orbicularis oculi muscle at the level of the eyebrow. Therefore, the superiorly based orbicularis oculi muscle flap, when advanced and attached to the tarsal plate, can dynamically elevate the upper lid and correct blepharoptosis with previous frontalis sling. ...
1
Effects of geriatric interdisciplinary home rehabilitation on complications and readmissions after hip fracture: a randomized controlled trial
Hip Fx in the Elderly 2019
OBJECTIVE:: This pre-planned secondary analysis of geriatric interdisciplinary home rehabilitation, which was initially found to shorten the postoperative length of stay in hospital for older individuals following hip fracture, investigated whether such rehabilitation reduced the numbers of complications, readmissions,...
0
Use of flexible intramedullary rods for fixation of femoral fractures in eight dogs
DoD LSA (Limb Salvage vs Amputation)
High-density, polysulfone rods were used to repair 4 comminuted and 4 short-oblique, mid-diaphyseal femoral fractures in 8 dogs. Bony union was achieved in 2 dogs at 10 and 12 weeks after surgery. In one dog, the femoral fracture was healing when amputation of the limb became necessary because of sciatic nerve damage s...
0
Anterior quadratus lumborum block analgesia for total hip arthroplasty: a randomized, controlled study
AAHKS (8) Anesthetic Infiltration
BACKGROUND AND OBJECTIVES: Quadratus lumborum (QL) block is a new regional analgesic technique for upper and lower abdominal surgeries as part of a multimodal analgesic regime. It has also been reported to relieve pain after total hip arthroplasty (THA). In this prospective, randomized, double-blind study, we compared ...
0
Effect of Hypovitaminosis D on Postoperative Pain Outcomes and Short-Term Health-Related Quality of Life After Knee Arthroplasty: A Cohort Study
OAK 3 - Non-arthroplasty tx of OAK
Vitamin D may have an important role in pain perception. Inadequate vitamin D levels are associated with suboptimal recovery after surgery. However, the effects of hypovitaminosis D on postoperative pain-related outcomes and its impact on health-related quality of life after surgery are not well understood. The objecti...
0
A Randomised Trial of Endovascular and Open Surgery for Ruptured Abdominal Aortic Aneurysm - Results of a Pilot Study and Lessons Learned for Future Studies
DOD - Acute Comp Syndrome CPG
Introduction: EVAR has the potential to improve outcome after ruptured abdominal aortic aneurysm (AAA). Published series have been based upon selected populations. Methods: An interim analysis of a single centre prospective randomised controlled trial comparing endovascular aneurysm repair (EVAR) with open aneurysm rep...
1
Management of prosthetic joint infection treated with two-stage exchange: the impact of antimicrobial therapy duration
PJI DX Updated Search
Background: The optimal duration of parenteral antimicrobial therapy in patients with prosthetic joint infection treated with a two-stage exchange is unknown. Methods: This analysis compares the outcomes between patients treated with 4 weeks and those treated with 6 weeks of parenteral antimicrobial therapy after a two...
0
Mechanical calf compression and aspirin prophylaxis for total knee arthroplasty
AAHKS (9/10) Regional Nerve Blocks
UNLABELLED: We used aspirin and mechanical calf pneumatic compression for thromboembolism prophylaxis in 856 consecutive primary and revision total knee arthroplasties. Regional anesthesia was used in 97% of the procedures. Duplex ultrasonography was performed before discharge. We advised patients with calf thrombi to ...
0
Independent predictors of all osteoporosis-related fractures in healthy postmenopausal women: the OFELY study
Management of Hip Fractures in the Elderly
Several epidemiological studies have identified clinical factors that predict the risk of hip fractures in elderly women independently of the level of bone mineral density (BMD), such as low body weight, history of fractures, and clinical risk factors for falls. Their relevance in predicting all fragility fractures in ...
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Total hip replacement by the Brunswik prosthesis. A preliminary report of 189 operations
Management of Hip Fractures in the Elderly
The results of 189 Brunswik total hip replacements, performed at the Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland, and followed up for 2-3 years, are presented. According to the modified system of Merle D'Aubigne & Postel excellent results were achieved in 11.1 per cent (21/189), good in 56.6 per c...
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Pulmonary circulatory changes after bilateral total knee arthroplasty during regional anesthesia
Surgical Management of Osteoarthritis of the Knee CPG
STUDY OBJECTIVE: To monitor the pulmonary hemodynamics of patients undergoing bilateral total knee arthroplasty (BTKA) intraoperatively and up to 24 hours following surgery. DESIGN: Prospective observational study. SETTING: University-affiliated teaching hospital. PATIENTS: 30 ASA physical status 2 and 3 patients sched...
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The role of meniscal repair for prevention of early onset of osteoarthritis
AMP (Acute Meniscal Pathology)
BACKGROUND: The meniscus plays an important role in the integrity of the knee joint. Therefore, meniscus tissue preserving techniques for the therapy of meniscus injuries seem to be reasonable. One of the important questions is whether meniscal repair can prevent the knee joint from early onset of osteoarthritis. METHO...
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Elderly patients with intertrochanteric fractures after intramedullary fixation : Analysis of risk factors for calf muscular vein thrombosis
Hip Fx in the Elderly 2019
OBJECTIVE: Calf muscular vein thrombosis (CMVT) has been known for approximately 40 years and many research studies for CMVT have been conducted but many opinions about the incidence and risk factors are still controversial. The objective of this retrospective study was to investigate the incidence and analyze the risk...
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The treatment of pilon fractures
DoD LSA (Limb Salvage vs Amputation)
Soft tissue complications, skin slough, and superficial infection lead to deeper infection and amputation. By avoiding these complications, it is expected that better results can be obtained. Two techniques are available to do this. The first is to limit incisions and use external fixation to obtain stability. Even in ...
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Rupture of the extensor pollicis longus tendon after wrist trauma
Distal Radius Fractures
In the period of 1976 to 1997 our clinic treated 33 patients after Colles fracture with ruptured extensor pollicis longus tendon. The occurrence of functional loss was observed after the trauma in 3 to 9 weeks. In 30 cases the surgical treatment of extensor indicis proprius tendon, in 2 cases a direct suture of the rup...
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Distal Radius Fracture Fixation With the Specialized Threaded Pin Device
Distal Radius Fractures
This study investigated the outcomes of extra-articular distal radius fractures and simple intra-articular radial styloid fractures stabilized with a novel threaded cannulated device. This was a retrospective study of 24 distal radius fractures treated with the T-Pin device (Union Surgical LLC, Philadelphia, Pennsylvan...
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The outcome of infected total knee arthroplasty: culture-positive versus culture-negative
PJI DX Updated Search
PURPOSE: We studied the outcome in culture-positive and culture-negative infected total knee arthroplasty (TKA). METHODS: We retrospectively reviewed 140 patients with culture-positive and 102 patients with culture-negative infected TKAs. We determined the infection control rate and clinical outcome after repeated debr...
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Ptosis Repair in Ocular Myasthenia Gravis
Upper Eyelid and Brow Surgery
Ptosis repair was performed in patients with ocular myasthenia gravis by a posterior approach (Fasanella-Servat, 12 eyelids of nine patients) or levator advancement (eight eyelids of five patients) techniques. There were eight males and five females. Median age was 73 years and range 30-86 years. The median duration of...
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F-18 FDG uptake of bone marrow on PET/CT scan: It's correlation with CD38/CD138 expressing myeloma cells in bone marrow of patients with multiple myeloma
MSTS 2018 - Femur Mets and MM
The percentage of myeloma cells in bone marrow is subsequently an important index of disease in patients with multiple myeloma (MM). Bone marrow myeloma cells can be detected by strong CD38/CD138 positivity and light scatter characteristics using flow cytometry. The aim of the study was to evaluate the relationship bet...
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Systemic administration of local anesthetic agents to relieve neuropathic pain
SR for PM on OA of All Extremities
Background: Lidocaine, mexiletine, tocainide, and flecainide are local anesthetics which give an analgesic effect when administered orally or parenterally. Early reports described the use of intravenous lidocaine or procaine to relieve cancer and postoperative pain. Interest reappeared decades later when patient series...
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Abdominal compartment syndrome and acute pancreatitis
DOD - Acute Comp Syndrome CPG
Significant visceral edema associated with massive fluid resuscitation, paralytic ileus and formation of pancreatic ascites in patients with severe acute pancreatitis (SAP) can lead to abdominal compartment syndrome (ACS) that can contribute to the early development of multiple organ dysfunction syndrome (MODS), especi...
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Spine radiographs to improve the identification of women at high risk for fractures
Management of Hip Fractures in the Elderly
In women older than 60 years with clinical risk factors for osteoporosis but without osteoporosis based on bone mineral density (T-score(element of)(greater-than or equal to)(element of)- 2.5), a systematic survey with X-rays of the spine identified previously unknown vertebral deformities in 21% of women. Introduction...
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Forearm and distal radius fractures in children
Distal Radius Fractures
Pediatric forearm and distal radius fractures are common injuries. Resultant deformities are usually a product of indirect trauma involving angular loading combined with rotational displacement. Fractures are classified by location, completeness, angular and rotational deformity, and fragment displacement. Successful o...
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Biomechanical investigations on chondromalacia of the knee after meniscal flap lesion and partial meniscal resection: an experimental model
AMP (Acute Meniscal Pathology)
Meniscal tears and resections may cause chondral lesions of the knee. To eliminate muscular control during investigation of this problem, we designed a biomechanical setup based on a knee-joint simulator, ensuring physiological, free-motion mobility of the joint. Fresh human knee specimens with intact cartilage were ex...
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Liposomal Bupivacaine Does Not Reduce Inpatient Opioid Prescription or Related Complications after Knee Arthroplasty: A Database Analysis
AAHKS (9/10) Regional Nerve Blocks
WHAT WE ALREADY KNOW ABOUT THIS TOPIC: WHAT THIS MANUSCRIPT TELLS US THAT IS NEW: BACKGROUND:: Although some trials suggest benefits of liposomal bupivacaine, data on real-world use and effectiveness is lacking. This study analyzed the impact of liposomal bupivacaine use (regardless of administration route) on inpatien...
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Factors affecting the incidence of surgical site infection after geriatric hip fracture surgery: a retrospective multicenter study
DoD SSI (Surgical Site Infections)
BACKGROUND: Geriatric hip fracture is a common type of osteoporotic fracture with high mortality and disability; surgical site infection (SSI) can be a devastating complication of this injury. By far, only a few studies identified easily remediable factors to reduce infection rates following hip fracture and less resea...
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Soft tissue reconstruction and salvage of infected fixation hardware in lower extremity trauma
DoD LSA (Limb Salvage vs Amputation)
BACKGROUND: Tibial fracture management may be complicated by infection of internal fixation hardware (iIFH) resulting in increased morbidity and amputation rate. When iIFH removal is not possible, salvage of the lower extremity is attempted through debridement, antibiotics, and vascularized soft tissue coverage. This s...
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Use of provincial health insurance plan billing data to estimate carpal tunnel syndrome morbidity and surgery rates
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
Following a work refusal at a plant manufacturing ice cream novelties in Ontario, we were asked to document cases of cumulative trauma disorders (CTDs) and carpal tunnel syndrome (CTS) in this workplace. There were 17 employees with possible hand and wrist problems identified from Workers Compensation Board (WCB) Forms...
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Microbiology of odontogenic bacteremia: beyond endocarditis
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
SUMMARY: The human gingival niche is a unique microbial habitat. In this habitat, biofilm organisms exist in harmony, attached to either enamel or cemental surfaces of the tooth as well as to the crevicular epithelium, subjacent to a rich vascular plexus underneath. Due to this extraordinary anatomical juxtaposition, p...