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0 | Small subchondral drill holes improve marrow stimulation of articular cartilage defects | Osteochondritis Dissecans 2020 Review | BACKGROUND: Subchondral drilling is an established marrow stimulation technique. HYPOTHESIS: Osteochondral repair is improved when the subchondral bone is perforated with small drill holes, reflecting the physiological subchondral trabecular distance. STUDY DESIGN: Controlled laboratory study. METHODS: A rectangular fu... |
0 | Occurrence of tendon pathologies in metabolic disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This article reviews the pathogenetic role of metabolic disorders, which are of paramount relevance to the progression of tendon damage. In diabetes, the prevalence of rheumatological diseases is high, mainly because of the deleterious effects of advanced glycation end products that deteriorate the biological and mecha... |
0 | Effects of joint effusion on quadriceps muscles in patients with knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: To evaluate the effect of knee effusion on the quadriceps muscle in patients with knee osteoarthritis (OA).
DESIGN: Single-blind, randomized, controlled clinical trial.
SETTING: Single medical center.
PARTICIPANTS: Forty subjects with knee OA were assigned to a experimental (n = 20) or control (n = 20) grou... |
0 | Proximal femoral allografts for reconstruction of bone stock in revision arthroplasty of the hip. A nine to fifteen-year follow-up | Management of Hip Fractures in the Elderly | BACKGROUND: Revision of a femoral component in a patient who has severe bone loss is a complex problem that is likely to increase with the increasing numbers of patients who have multiple revision hip arthroplasties. A valuable option in such a situation is use of a long-stem prosthesis that is cemented to a proximal f... |
1 | Uncontrolled diabetes as a potential risk factor in tibiotalocalcaneal fusion using a retrograde intramedullary nail | DoD LSA (Limb Salvage vs Amputation) | Background: Tibiotalocalcaneal (TTC) fusion using a retrograde intramedullary (IM) nail is an effective salvage option for terminal-stage hindfoot problems. However, as many patients who receive TTC fusion bear unfavorable medical comorbidities, the risk of nonunion, infection and other complications increases. This st... |
1 | Treatment of distal femur and proximal tibia fractures with external fixation followed by planned conversion to internal fixation | DoD LSA (Limb Salvage vs Amputation) | PURPOSE: To evaluate healing rates and complications in patients treated with temporary external fixation (EF) and subsequent open reduction and internal fixation (ORIF) for high-energy distal femur or proximal tibia fractures. METHODS: Retrospective analysis of prospectively collected data 1999 to 2005. Demographic da... |
0 | Physical and Psychosocial Functions of Adults with Lower Limb Congenital Deficiencies and Amputations in Childhood | DoD LSA (Limb Salvage vs Amputation) | Objectives. (1) To describe the epidemiological and medical features of a sample with LLA and LLD in childhood and (2) to explore their relationship with subsequent physical and psychosocial functions in adulthood. Methods. Cross-sectional survey. Demographics, medical data, Locomotor Capabilities Index (LCI), and Disc... |
0 | Primary care for women. Comprehensive assessment of common musculoskeletal disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | This article reviews the common musculoskeletal disorders that are likely to be encountered in the women's primary care setting. Basic anatomy and physiology of the musculoskeletal system are reviewed, and the assessment and treatment of complaints of strains, sprains, low back pain, chest pain, carpal tunnel syndrome,... |
0 | Endoscopic axillary lymphadenectomy without prior liposuction: Development of a technique and initial experience | Panniculectomy & Abdominoplasty CPG | Background: A new technique of endoscopic axillary lymphadenectomy without prior liposuction was developed by our group. Method: A total of 33 patients with early stage breast cancer were treated by breast-conserving therapy and endoscopic axillary lymphadenectomy. Results: The median duration of the operation was 74.9... |
0 | Rheumatoid arthritis vs osteoarthritis in patients receiving total knee arthroplasty: perioperative outcomes | PJI DX Updated Search | There is a paucity of data available on perioperative outcomes of patients undergoing total knee arthroplasty (TKA) for rheumatoid arthritis (RA). We determined differences in demographics and risk for perioperative adverse events between patients suffering from osteoarthritis (OA) versus RA using a population-based ap... |
0 | Long-term results and costs of muscle flap coverage with Ilizarov bone transport in lower limb salvage | DoD SSI (Surgical Site Infections) | OBJECTIVES: To determine long-term outcomes and costs of Ilizarov bone transport and flap coverage for lower limb salvage.
DESIGN: Case series with retrospective review of outcomes with at least 6-year follow-up.
SETTING: Academic tertiary care medical center.
PATIENTS: Thirty-four consecutive patients with traumatic l... |
0 | A modified two-incision minimally invasive total hip arthroplasty: Technique and short-term results | Hip Fx in the Elderly 2019 | Between 2003 and 2005, a total of 425 consecutive cases with a modified two-incision minimally invasive total hip arthroplasty (THA) were performed at our hospital. We analysed 225 cases with greater than 12 months follow-up clinically and radiographically. The mean operative time was 70 minutes. Patients could walk on... |
1 | A preliminary study of the effect of closed incision management with negative pressure wound therapy over high-risk incisions | DoD SSI (Surgical Site Infections) | BACKGROUND: Certain postoperative wounds are recognised to be associated with more complications than others and may be termed high-risk. Wound healing can be particularly challenging following high-energy trauma where wound necrosis and infection rates are high. Surgical incision for joint arthrodesis can also be cons... |
0 | Long-term trends in the epidemiology and resistance of childhood bacterial enteropathogens in Crete | Patrick’s pharmacoepidemiology project | In this study, we investigated the long-term trends in the epidemiology and susceptibility of bacterial enteropathogens among children in a well-defined area of adequate health standards. The study included all children younger than 14 years of age treated for enteritis at Heraklion University General Hospital on the i... |
0 | Potential markers of tongue tumor progression selected by cDNA microarray | MSTS 2018 - Femur Mets and MM | Squamous cell carcinoma (SCC), the most frequent malignant tumor of the oral cavity, generally exhibits a poor prognosis and metastases are the main cause of death. This tumor often arises from pre-malignant lesions. To date, it is difficult to predict if and which pre-malignant lesions may progress into oral SCC using... |
0 | Total knee replacement after fractures about the knee | Surgical Management of Osteoarthritis of the Knee CPG | We reviewed 17 cases of posttraumatic arthritis after fractures about the knee. All patients underwent total knee replacement; one had a distal femoral osteotomy to correct a deformity prior to arthroplasty. Thirteen patients had a minimum one-year follow-up, with an average follow-up of 27 months (range, one to four y... |
0 | Oral health status and oral hygiene practices of patients with peptic ulcer and how these affect Helicobacter pylori eradication from the stomach | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: Helicobacter pylori eradication from the oral cavity is more difficult than from the stomach. Thus, if the bacterium survives the antibacterial therapy in the oral cavity, it would be able to re-infect the stomach within a few weeks. Since oral health status could correspond to oral infection with H. pylori... |
0 | Prevalence of bisphosphonate-related osteonecrosis of the jaw-like lesions is increased in a chemotherapeutic dose-dependent manner in mice | MSTS 2018 - Femur Mets and MM | Bisphosphonate-related osteonecrosis of the jaw (BRONJ) worsens oral health-related quality of life. Most BRONJ occurs in multiple myeloma or metastatic breast cancer patients treated with bisphosphonate/chemotherapeutic combination therapies. Cyclophosphamide (CY), an alkylating chemotherapeutic drug, is used to treat... |
0 | The timed up and go test predicts fracture risk in older women independently of clinical risk factors and bone mineral density | Hip Fx in the Elderly 2019 | Summary: The timed up and go (TUG) test measures physical performance and predicts falls in the elderly. In older women, TUG time predicts the risk of major osteoporotic fracture and hip fracture independently of clinical risk factors and bone mineral density, and has a substantial impact on fracture probabilities. Int... |
0 | Musculoskeletal symptoms and orthopaedic complications in pregnancy: pathophysiology, diagnostic approaches and modern management | DoD - ACS - Interrater Reliability | Low back pain is a common musculoskeletal symptom in pregnancy that can present as lumbar pain or pelvic girdle pain, with significant physical and psychosocial implications. Pelvic girdle pain is more prevalent and results in greater disability than lumbar pain. It is possible to distinguish between these two conditio... |
1 | Osteochondral Autologous Transplantation Compared to Microfracture for Treating Osteochondral Defect: An Updated Meta-analysis of Randomized Controlled Trials | OAK 3 - Non-arthroplasty tx of OAK | Various techniques have proven to be effective for treating articular cartilage defect of the knee joint, but knowledge regarding which method is best still remains uncertain. Osteochondral autologous transplantation (OAT) provides hyaline or hyaline-like repair for articular defects, whereas microfracture (MF) provide... |
0 | Minimal detectable change for mobility and patient-reported tools in people with osteoarthritis awaiting arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: Thoughtful use of assessment tools to monitor disease requires an understanding of clinimetric properties. These properties are often under-reported and, thus, potentially overlooked in the clinic. This study aimed to determine the minimal detectable change (MDC) and coefficient of variation per cent (CV%) ... |
0 | Mandibular Reconstruction with Lateral Tibial Bone Graft: An Excellent Option for Oral and Maxillofacial Surgery | DoD SSI (Surgical Site Infections) | Autogenous bone grafts are the gold standard for reconstruction of atrophic jaws, pseudoarthroses, alveolar clefts, orthognathic surgery, mandibular discontinuity, and augmentation of sinus maxillary. Bone graft can be harvested from iliac bone, calvarium, tibial bone, rib, and intraoral bone. Proximal tibia is a commo... |
0 | Public Interest in Cosmetic Surgical and Minimally Invasive Plastic Procedures During the COVID-19 Pandemic: Infodemiology Study of Twitter Data | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The unprecedented COVID-19 pandemic has brought drastic changes to the field of plastic surgery. It is critical for stakeholders in this field to identify the changes in public interest in plastic procedures to be adequately prepared to meet the challenges of the pandemic. OBJECTIVE: The aim of this study i... |
0 | Is distal forearm fracture in men due to osteoporosis? | Distal Radius Fractures | Although widely regarded as a disease of women, osteoporosis does cause considerable morbidity and mortality in men. The lifetime risk of an osteoporortic fracture for a man is 1 in 12 and 30% of all hip fractures occur in men. In women, low-trauma distal forearm fracture is widely regarded as a typical early manifesta... |
1 | Multimodal analgesia with gabapentin, ketamine and dexamethasone in combination with paracetamol and ketorolac after hip arthroplasty: a preliminary study | AAHKS (4) Acetaminophen | BACKGROUND AND OBJECTIVE: It has been hypothesized that combinations of analgesics with different mechanisms of action may reduce or even prevent postoperative pain. We, therefore, investigated the analgesic effect of gabapentin, dexamethasone and low-dose ketamine in combination with paracetamol and ketorolac as compa... |
0 | Expanded reverse abdominoplasty for reconstruction of burns in the epigastric region and the inframammary fold in female patients | Panniculectomy & Abdominoplasty CPG | We report the use of expanded reverse abdominoplasty in three female patients with postburn scars involving the entire epigastric region in which the inframammary folds were effaced, resulting in distortion of breast contour. In two of the patients, tissue expanders were used, and subsequently, reverse abdominoplasty w... |
1 | Development of a surgical site infection prediction model in orthopaedic trauma: The Denver Health Model | DoD SSI (Surgical Site Infections) | BACKGROUND: The CDC's National Healthcare Safety Network's (NHSN) current risk adjustment model for surgical site infections (SSI) following open reduction internal fixation (ORIF) of long bone fractures is a suboptimal predictor of risk. We hypothesized that by including variables known to be associated with SSI follo... |
0 | Medullary thyroid carcinoma: importance of serial serum calcitonin measurement | MSTS 2018 - Femur Mets and MM | Thirty-two patients with medullary carcinoma of the thyroid (MCT) were studied before and after therapy. Sixteen patients had familial and 16 had the sporadic type of disease. The groups differed in several features: Patients with sporadic disease were older at diagnosis and presented with enlargements in the thyroid o... |
0 | A randomised single blind study comparing the molar ED50 of levobupivacaine and ropivacaine as a femoral perineural infusion for pain relief after total knee replacement | Surgical Management of Osteoarthritis of the Knee CPG | Background: Measure molar EC50 of levobupivacaine & ropivacaine using 4-point verbal pain score at 28-30 hours when administered via femoral perineural infusion after knee arthroplasty. Secondary objectives were pain measurement (visual score- 0-100mm), Motor block ( Bromage score 0-3); SLR (5-0) and EMG at 8/24 hours.... |
0 | A sex-specific association between incident radiographic osteoarthritis of hip or knee and incident peripheral arterial calcifications: 8-year prospective data from Cohort Hip and Cohort Knee (CHECK) | OAK 3 - Non-arthroplasty tx of OAK | OBJECTIVES: There is sparse evidence for a relationship between cardiovascular disease (CVD) and osteoarthritis (OA). We investigated the association between incidence of arterial calcifications and incidence of radiographic knee and/or hip OA.
DESIGN: We used baseline and 8-year follow-up data of Cohort Hip and Cohort... |
0 | Complications after spacer implantation in the treatment of hip joint infections | PJI DX Updated Search | The aim of this retrospective study was to identify and evaluate complications after hip spacer implantation other than reinfection and/or infection persistence. Between 1999 and 2008, 88 hip spacer implantations in 82 patients have been performed. There were 43 male and 39 female patients at a mean age of 70 [43-89] y... |
0 | Multi-centre cluster randomised trial comparing a community group exercise programme with home based exercise with usual care for people aged 65 and over in primary care: protocol of the ProAct 65+ trial | HipFx Supplemental Cost Analysis | BACKGROUND: Regular physical activity reduces the risk of mortality from all causes, with a powerful beneficial effect on risk of falls and hip fractures. However, physical activity levels are low in the older population and previous studies have demonstrated only modest, short-term improvements in activity levels with... |
0 | Utility of the UFOV test with mild traumatic brain injury | Upper Eyelid and Brow Surgery | Driving skills are socially important, easily disrupted by brain injury, and potentially risky and difficult to evaluate afterward. The Useful Field of View test has seen successful use with severe traumatic brain injury (TBI), but its use with mild TBI victims has not been examined. This study shows its ecological ins... |
0 | Advanced age and comorbidity increase the risk for adverse events after revision total hip arthroplasty | PJI DX Updated Search | With the institution of quality-assurance parameters in health care, physicians must accurately measure and report the true baseline rates of adverse events (AEs) after complex surgical interventions. To better quantify the risk of AEs for revision total hip arthroplasty (THA), we divided a cohort of 306 patients (322 ... |
0 | The long-term effects of sysadoa treatment on knee osteoarthritis symptoms and progression of structural changes: Participants from the osteoarthritis initiative progression cohort | Surgical Management of Osteoarthritis of the Knee CPG | Purpose: This study aimed at exploring the effects of commonly used medication for the treatment of knee osteoarthritis (OA) on the progression of the disease over a period of 24 consecutive months. Methods: Participants were from the Osteoarthritis Initiative progression cohort (http://www.oai.ucsf.edu/) (n1,390) who ... |
0 | An orthopaedic enhanced recovery pathway | AAHKS (9/10) Regional Nerve Blocks | The use of enhanced recovery pathways within elective surgery has increased in recent years but uptake outside of specialist centres is still slow, despite the growing evidence base to support their introduction. This article will briefly outline what is meant by an enhanced recovery pathway (ERP) and outline the centr... |
0 | Skin cancer in solid organ transplant recipients: Advances in therapy and management: Part I. Epidemiology of skin cancer in solid organ transplant recipients | Reconstruction After Skin Cancer | Skin cancer is the most frequent malignancy in organ transplant recipients, 95% of which are nonmelanoma skin cancer, especially squamous cell and basal cell carcinomas. This paper also discusses the incidence of other tumors (eg, melanoma, Merkel cell carcinoma, and Kaposi sarcoma) that are also increased in organ tra... |
1 | Antibiotic prophylaxis: a literature review | Dental Implant Infection | Antibiotic prophylaxis has been a matter of great interest and has been discussed by researchers and clinicians over the years. Changes and recommendations have been made in order to clarify protocol and make it safer for patients. Various organizations such as the American Heart Association, American Academy of Oral S... |
0 | Below-knee amputations as a result of land-mine injuries: comparison of primary closure versus delayed primary closure | DoD LSA (Limb Salvage vs Amputation) | BACKGROUND: Antipersonnel land mines are designed to maim by mutilating the lower extremities, and these injuries are at higher risk for infection than injuries from other weapon systems. METHODS: The results of 474 unilateral traumatic below-knee amputations as a result of land-mine injuries were reviewed. If the dela... |
1 | Continuous femoral nerve blocks: decreasing local anesthetic concentration to minimize quadriceps femoris weakness | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Whether decreasing the local anesthetic concentration during a continuous femoral nerve block results in less quadriceps weakness remains unknown.
METHODS: Preoperatively, bilateral femoral perineural catheters were inserted in subjects undergoing bilateral knee arthroplasty (n = 36) at a single clinical ce... |
1 | Implants for trochanteric fractures in Norway: the role of the trochanteric stabilizing plate-a study on 20,902 fractures from the Norwegian hip fracture register 2011-2017 | Hip Fx in the Elderly 2019 | BACKGROUND: The trochanteric stabilizing plate (TSP) is used as an adjunct to the sliding hip screw (SHS) in unstable trochanteric and subtrochanteric fractures. We wanted to describe the choice of implant for trochanteric fractures with a focus on the TSP in Norway.
METHODS: A total of 20,902 fractures from the Norweg... |
0 | Evaluation of Leber's hereditary optic neuropathy patients prior to a gene therapy clinical trial | Upper Eyelid and Brow Surgery | Gene therapy may be a promising approach for the treatment of Leber hereditary optic neuropathy. The aim of this study was to evaluate patients with this condition who were recruited into an upcoming gene therapy clinical trial and to assess any changes in the detection parameters to provide support for the clinical tr... |
0 | Histomorphometric analysis of subchondral bone of the femoral head in osteoarthritis and osteoporosis | Management of Hip Fractures in the Elderly | There have been reports both supporting and refuting an inverse relationship between hip fracture and hip osteoarthritis (OA). We have investigated this relationship using histomorphometric study of femoral head subchondral bone. We studied 74 subjects with hip fracture (74% females) and 24 subjects with osteoarthritis... |
0 | Fixation of subtrochanteric fracture of the femur: Our experience | Management of Hip Fractures in the Elderly | Introduction: Subtrochanteric fracture of the femur is a variant of the peritrochanteric fracture of the femur. It extends upto 5 cm below the lesser trochanter. The incidence is relatively much lower (3.9% of all the proximal femoral fractures). It is common in the older population with low energy trauma along with os... |
0 | Does statin use have a disease modifying effect in symptomatic knee osteoarthritis? Study protocol for a randomised controlled trial | AMP (Acute Meniscal Pathology) | Background: Osteoarthritis (OA) is a major clinical and public health problem, with no current medications approved as having disease modifying effects. HMG-CoA reductase inhibitors, or "statins", a drug class widely used to prevent cardiovascular events, could potentially affect OA progression via a number of mechanis... |
1 | A comprehensive review of denosumab for bone metastasis in patients with solid tumors | MSTS 2018 - Femur Mets and MM | BACKGROUND: Denosumab is fully human monoclonal antibody that specifically binds and inactivates receptor activator of NF-kB ligand (RANKL), an important ligand that regulates bone remodeling. In this review, we aimed to show the clinical data about denosumab treatment and discuss its advantages for the management of p... |
1 | The role of diet and exercise and of glucosamine sulfate in the prevention of knee osteoarthritis: Further results from the PRevention of knee Osteoarthritis in Overweight Females (PROOF) study | OAK 3 - Non-arthroplasty tx of OAK | BACKGROUND AND OBJECTIVES: The PRevention of knee Osteoarthritis in Overweight Females (PROOF) study (ISRCTN 42823086) described a trend for a decrease in the incidence of knee osteoarthritis (OA) by a tailored diet and exercise program (DEP) or by oral glucosamine sulfate in women at risk for the disease, using a comp... |
0 | Age and weight effects on motor nerve conduction time measurements in an asymptomatic industrial population | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Motor conduction delay has been demonstrated in patients with carpal tunnel syndrome (CTS), however, there is also evidence that conduction slowing can be effected by other factors, e.g., the aging process. Recent development of the digital electroneurometer, a hand-held, battery-powered device for measuring motor nerv... |
1 | Validation of the Injustice Experiences Questionnaire in a heterogeneous trauma sample | DoD PRF (Psychosocial RF) | PURPOSE/OBJECTIVE: A recent study by Trost et al. (2015) investigated the influence of perceived injustice-reflecting appraisals of the severity and irreparability of loss following injury, blame, and unfairness-on physical and psychological outcomes in a sample of patients 12 months after sustaining a traumatic injury... |
0 | Effect of inpatient quality of care on functional outcomes in patients with hip fracture | Management of Hip Fractures in the Elderly | OBJECTIVES: We sought to examine the relationship between functional outcome and process of care for patients with hip fracture. RESEARCH DESIGN AND PARTICIPANTS: We undertook a prospective cohort study in 4 hospitals of 554 patients treated with surgery for hip fracture. MEASUREMENTS: Information on patient characteri... |
0 | MIB1 proliferation index in breast infiltrating carcinoma: comparison with other proliferative markers and association with new biological prognostic factors | MSTS 2018 - Femur Mets and MM | AIMS: In breast invasive carcinoma our objectives were I) to compare cellular proliferation determined by MIB1 index with S-phase fraction (SPF) assessed by flow cytometry and with mitotic index, and II) to examine the association of MIB1 index with classical and with new biological prognostic factors [bcl-2, p53, c-er... |
0 | Biological Effects of Bone Marrow Concentrate in Knee Pathologies | BMAC (Bone Marrow Aspirate Concentrate) | With our aging population desiring to remain active, the incidence and costs associated with managing knee pain from both acute injury and symptomatic knee osteoarthritis continue to dramatically increase. Current treatment methods fall short with respect to their ability to improve the intra-articular environment and ... |
0 | Determinants of postsurgical discharge setting for male hip fracture patients | Hip Fx in the Elderly 2019 | Veterans hospitalized for hip fracture repair may be discharged to one of several rehabilitation settings, but it is not known what factors influence postsurgical discharge setting. The purpose of the study was to examine the patient, facility, and market factors that influence the choice of postsurgical discharge sett... |
0 | Functional outcome after major orthopedic surgery: the role of regional anesthesia redefined | AAHKS (9/10) Regional Nerve Blocks | PURPOSE OF REVIEW: Regional anesthesia can provide optimal pain management and stress reduction. This article aims to establish the impact of regional anesthesia in facilitating the recovery process, measured by significant clinical outcomes.
RECENT FINDINGS: The most common outcome assessing the effectiveness of regio... |
0 | Audit of deep wound infection following hip fracture surgery | DoD SSI (Surgical Site Infections) | An audit of 171 consecutive hip fractures treated surgically showed a deep wound infection rate of 3.6%. Several shortcomings in the implementation of the infection policy were identified and recommendations to eliminate them introduced. Review of the subsequent 186 patients gave a deep infection rate of 1.1%. Attentio... |
0 | Ultrasound-Guided Femoral Nerve Block to Facilitate the Closed Reduction of a Dislocated Hip Prosthesis | AAHKS (9/10) Regional Nerve Blocks | Prosthetic hip dislocation is a common but unfortunate complication in patients who have undergone total hip arthroplasty. Successful closed reduction in the emergency department leads to a reduced length of stay and rate of hospitalization.1,2 The use of regional anesthesia by femoral nerve block represents a novel ap... |
0 | Treatment of failures related to articulation material in THA. A comprehensive algorithm of surgical options and open questions | Hip Fx in the Elderly 2019 | Total hip arthroplasty is considered one of the greatest advances in health care of the last century. More than one million THAs are estimated to be performed annually and an increasing number of revisions are expected in the future. Osteolysis and loosening are still the main reasons for failure, justifying the use of... |
0 | Dietary magnesium intake, serum high sensitivity C-reactive protein and the risk of incident knee osteoarthritis leading to hospitalizationâ??A cohort study of 4,953 Finns | OAK 3 - Non-arthroplasty tx of OAK | Objectives To study whether low dietary magnesium (Mg) intake and serum high sensitivity C-reactive protein (hs-CRP) predict the development of clinical knee osteoarthritis (OA). Methods The cohort consisted of 4,953 participants of a national health examination survey who were free of knee and hip OA at baseline. Info... |
1 | Panniculectomy: improving lymph node yield in morbidly obese patients with endometrial neoplasms | Panniculectomy & Abdominoplasty CPG | OBJECTIVE: Panniculectomy has been used to facilitate pelvic surgery in obese women. The goal of this study was to determine the effect of panniculectomy on staging adequacy and lymph node yield in obese women with endometrial carcinoma undergoing staging laparotomy. METHODS: A retrospective review of patients with end... |
0 | Cementless Revision Total Hip Arthroplasty with Ceramic Articulation | Hip Fx in the Elderly 2019 | PURPOSE: The results of ceramic-on-ceramic (CoC) bearing surfaces in primary total hip arthroplasty (THA) were well known. However, it was not known in revision THA. The purpose of this study is to report the results of revision THA with ceramic articulation.
MATERIALS AND METHODS: A total of 112 revision THAs were eva... |
0 | Short latency afferent inhibition and cognitive functions in multiple system atrophy | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: To study functional cortical cholinergic involvement in multiple system atrophy (MSA) by short latency afferent inhibition (SAI) and neuropsychological tests. Background: SAI is an in vivo technique to measure cortical cholinergic activity. It is impaired in Alzheimer's disease and Parkinson's disease (PD) d... |
0 | Postoperative Analgesia After Elective Hip Surgery - Effect of Obturator Nerve Blockade | AAHKS (9/10) Regional Nerve Blocks | The study investigates the effect of an obturator nerve block on the postoperative pain and opioid consumption after total hip replacement. |
0 | The role of electrodiagnostic testing in carpal tunnel syndrome | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Electrodiagnostic testing in patients who have upper-extremity symptoms, which may include carpal tunnel syndrome (CTS), has been the gold standard for diagnosis for many years. Despite their value, these tests are underutilized. The authors examined the use patterns of electrodiagnostic testing at the University of Vi... |
0 | The effect of marginal osteophytes on reduction of varus-valgus instability in osteoarthritic knees | Surgical Management of Osteoarthritis of the Knee CPG | The varus-valgus stability of 20 knees with unicompartmental osteoarthritis was studied in vivo at the time of total knee replacement. Intact osteoarthritic knees had an average of 11.0 degrees of varus-valgus motion. Removal of osteophytes from the osteoarthritic compartment significantly increased the motion to 13.1 ... |
0 | Resection of an Occipital-Cervical Junction Schwannoma through a modified minimally invasive approach: Technical Note | Glenohumeral Joint OA | BACKGROUND: Minimally invasive spine (MIS) techniques have been available for many years, but their application has been largely limited to degenerative spine diseases. There are few reports in the literature of using MIS techniques for removal of neoplasms. We report our experience using a modified MIS technique for r... |
0 | Outcome of pubic rami fractures with or without concomitant involvement of the posterior ring in elderly patients | Hip Fx in the Elderly 2019 | INTRODUCTION: Pubic rami fractures are common fractures in a growing osteoporotic geriatric population. Concomitant posterior ring fractures (cPRF) are often found when properly looked for. The pain and consequent immobilization leaves this vulnerable patient group at risk for complications. Conservative therapy is usu... |
0 | Maslinic acid improves quality of life by alleviating joint knee pain in the elderly: Results from a community-based pilot study | OAK 3 - Non-arthroplasty tx of OAK | Chronic kneejoint pain is common in theelderly and associated with poor quality of life. This study, an open-label clinical trial, aimed to examine how the intake on a daily basis of maslinic acid-containing product (30 mg maslinic acid) on 29 elderly residents (mean 70.7 ± 10.1 years) of Nakajima Island, Ehime, Japan... |
0 | Treatment of Pseudomonas aeruginosa-infected orthopedic prostheses with ceftazidime-ciprofloxacin antibiotic combination | HipFx Supplemental Cost Analysis | Indwelling device infections are associated with considerable morbidity and extremely high cost. Pseudomonas aeruginosa is the most frequent gram- negative etiologic agent associated with infections of indwelling catheters and foreign body implants. It is generally agreed that eradication of infection in the presence o... |
0 | Illustrative review of knee meniscal tear patterns, repair and replacement options, and imaging evaluation | AMP (Acute Meniscal Pathology) | This review article aims to reinforce anatomical concepts about meniscal tears while linking associated treatment options. The main teaching points start with the basic meniscal anatomy and key differences between the medial and lateral menisci. Subsequently, various meniscal tear patterns along with their associated h... |
0 | Nonagenarians on a Rehabilitation Unit: Characteristics, Progress, and Outcomes | Management of Hip Fractures in the Elderly | Objective: To determine the diagnostic, functional, and demographic characteristics and to review the progress of nonagenarians admitted to a general rehabilitation unit. In addition, to compare their outcomes with a selected group of younger patients. Design: A 4-yr retrospective chart review of the 40 admitted nonage... |
0 | Anatomical quadrilateral plate for acetabulum fractures involving quadrilateral surface: A review | Hip Fx in the Elderly 2019 | Introduction: The management of acetabulum fractures in osteoporotic elderly, as well as comminuted fractures in younger patients is likely to be difficult. These fractures need specific fixation techniques especially when the quadrilateral plate is involved. Standard implants may not be able to adequately support the ... |
0 | Transscleral resection without hypotensive anaesthesia vs iodine-125 plaque brachytherapy in the treatment of choroidal melanoma | Reconstruction After Skin Cancer | Aims: The aim of this study was to compare transscleral resection technique performed without hypotensive anaesthesia (TSRWH) with iodine-125 brachytherapy (IBT) in the treatment of choroidal melanoma. Patients and methods: This was a retrospective surgical cohort study. Nineteen eyes treated with TSRWH were matched wi... |
1 | Musculoskeletal system disorders in computer users: Effectiveness of training and exercise programs | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Various musculoskeletal system disorders occur as a result of the use of computers, which have become an integral part of modern life. The most important among such disorders is known as cumulative trauma disorder (CTD). In this study, we attempt to investigate CTD's effects on daily life and the effectiveness of train... |
0 | Application of Platelet-Rich Plasma to Disorders of the Knee Joint | PRP (Platelet-Rich Plasma) | Importance. The promising therapeutic potential and regenerative properties of platelet-rich plasma (PRP) have rapidly led to its widespread clinical use in musculoskeletal injury and disease. Although the basic scientific rationale surrounding PRP products is compelling, the clinical application has outpaced the resea... |
0 | Transcutaneous blepharoptosis surgery - advancement of levator aponeurosis | Upper Eyelid and Brow Surgery | Ptosis surgery has seen many advances in the last few decades, the most important of which have emerged as a result of better understanding of the anatomy and physiology of the eyelid and orbit. Anterior approaches such as a levator aponeurosis advancement, tarsoaponeurectomy and posterior repair involving resection of... |
0 | Placental hCG immunohistochemistry and serum free-Beta-hCG at 11-13 weeks' gestation in intrauterine fetal demise | DoD PRF (Psychosocial RF) | Intrauterine fetal demise (IUFD) is a continuing problem that can result in severe psychosocial trauma for expecting parents. Our aim was to analyze placental human chorionic gonadotropin (hCG) expression at the third trimester and free-Beta-hCG levels measured at 11-13 weeks in cases of IUFD that occurred after 34 wee... |
1 | Reducing heterogeneity in OA clinical trials: Data from a phase 2 study of SM04690, a novel, intra-articular, WNT pathway inhibitor in knee osteoarthritis | TO: WNT2 Pathway Modulator | Background/Purpose: Kellgren-Lawrence [KL] radiographic grading is used to classify knee osteoarthritis (OA), but may not accurately reflect disease progression. Classifying subjects by baseline medial joint space width (mJSW) may be a more specific measure. This hypothesis was assessed in a post-hoc analysis of data f... |
0 | Prevalence of intra-articular mineralization on knee computed tomography: the multicenter osteoarthritis study | AMP (Acute Meniscal Pathology) | OBJECTIVE: The aim of this work was to report the prevalence of computed tomography (CT)-detected intra-articular mineralization.
DESIGN: We included participants from the Multicenter Osteoarthritis (MOST) Study. At the 12th year visit of the MOST study, bilateral knee CTs were first obtained. All participants also had... |
0 | The medial shelf of the knee. A follow-up study | AMP (Acute Meniscal Pathology) | After a publication in 1979 on Plica Synovialis Mediopatellaris a review of 1328 arthroscopies from 1978 onwards has been done at the Orthopedic Department of the University Clinic Duesseldorf. One hundred and eighty knees with medial shelf of the knee were found. Forty-three patients were treated by arthroscopic surge... |
0 | Role of thallium-201 total-body scintigraphy in follow-up of thyroid carcinoma | MSTS 2018 - Femur Mets and MM | To evaluate the reliability of total-body scintigraphy using [201Tl]chloride in postoperative follow-up of thyroid carcinoma, this procedure was performed in 326 patients after total thyroidectomy for thyroid carcinoma. The results were compared with those of 131I scintigraphy and thyroglobulin assays. 201Tl total-body... |
0 | Observation of vestibular asymmetry in a majority of patients over 50 years with fall-related wrist fractures | Management of Hip Fractures in the Elderly | Previously [The abstract has been shortened somewhat, and the headings removed, in order to conform to journal style], we have observed vestibular asymmetry in about one-third of healthy senior citizens and in about two-thirds of subjects with previous hip fractures and no other significant ailments. Wrist fractures ar... |
0 | Diagnostic difficulty identifying Apophysomyces trapeziformis septic arthritis in a patient with multiple myeloma | DoD LSA (Limb Salvage vs Amputation) | INTRODUCTION: Mucormycosis is a rare fungal infection, but can cause substantial morbidity and mortality in both immunocompromised and immunocompetent patients. Apophysomyces is a mucormycetes species ubiquitous in nature, particularly in soil, decaying wood and other organic matter. Apophysomyces is known to cause cut... |
1 | Open fractures of the distal radius: the effects of delayed debridement and immediate internal fixation on infection rates and the need for secondary procedures | DoD SSI (Surgical Site Infections) | PURPOSE: There are few clinical data evaluating the outcome of surgery for open distal radius fractures based on treatment method. Specifically, the major contributing factors to infection are largely unknown. The purpose of this study is to determine the effect of early versus delayed debridement and the choice of ini... |
0 | Prune belly syndrome: early management outcome of nine consecutive cases | Panniculectomy & Abdominoplasty CPG | BACKGROUND: Prune belly syndrome (PBS) is a rare congenital malformation of unclear etiology. The disease progress and outcome in developing countries are not clear as most reports are isolated case reports. MATERIALS AND METHODS: A review of 9 patients managed for PBS in 5 years. RESULTS: There were 7 males and 2 fema... |
0 | The use of a large pharmacoepidemiological database to study exposure to oral corticosteroids and risk of fractures: Validation of study population and results | Management of Hip Fractures in the Elderly | Purpose - The objective of this study was an evaluation of the sensitivity of findings of the relationship between oral corticosteroid use and the risk of fracture. We found in earlier work that the risk of fracture was significantly higher during oral corticosteroid treatment, with increases of 61% in hip and 160% in ... |
1 | Effect of weight change on progression of knee OA structural features assessed by MRI in overweight and obese women | AMP (Acute Meniscal Pathology) | OBJECTIVE: To evaluate the effects of weight change on progression of knee osteoarthritis (OA) structural features by magnetic resonance imaging (MRI) in overweight and obese women without clinical knee OA.
DESIGN: 347 participants from the Prevention of Knee Osteoarthritis in Overweight Females (PROOF) study were clas... |
0 | Population preferences of undergoing brachioplasty for arm laxity | Panniculectomy & Abdominoplasty CPG | BACKGROUND: The number of patients requesting surgical procedures performed for brachioplasty and massive weight loss is increasing. The authors set out to quantify the health state utility outcome assessment of living with arm deformity requiring brachioplasty. METHODS: Utility assessments using the visual analog scal... |
0 | Combination of lumbar erector spinae plane block and transmuscular quadratus lumborum block for surgical anaesthesia in hemiarthroplasty for femoral neck fracture | Hip Fx in the Elderly 2019 | Femur neck fractures may occur in elderly patients with multiple co-morbidities. Spinal or general anaesthesia may not be safe in such patients, leading to a search for other safer alternatives. Herein, we report a case in which a never previously reported combination of quadratus lumborum block (QLB) and erector spina... |
0 | Adipokines in arthritis: New kids on the block | SR for PM on OA of All Extremities | Along with its capacity to store energy, the white adipose tissue is a source of cytokines, called "adipocytokines" or "adipokines" , acting by paracrine, autocrine and systemic pathways. However, it is noteworthy that the source of these adipokines in physiological and/or pathological conditions is not restricted to t... |
0 | Medical problems affecting the management of children in dentistry | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Medical problems can affect the type and timing of dental treatment in children and also the methods of pain control used. In this paper, conditions which influence the choice of anaesthesia and the performance of nonsurgical and surgical dentistry are discussed, as are conditions which affect dental development |
0 | Epidemiology of work-related musculoskeletal disorders | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Musculoskeletal disorders are common in the United States. Although precise estimates are not available, most researchers agree that exposure to a combination of work place risk factors is a major contributor to these disorders. Along with personal factors (age, gender, etc.). Epidemiologic studies of workers have asso... |
0 | A fluid-immersed multi-body contact finite element formulation for median nerve stress in the carpal tunnel | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome (CTS) is among the most important of the family of musculoskeletal disorders caused by chronic peripheral nerve compression. Despite the large body of research in many disciplinary areas aimed at reducing CTS incidence and/or severity, means for objective characterization of the biomechanical ins... |
0 | Medical exercise therapy, and not arthroscopic surgery, resulted in decreased depression and anxiety in patients with degenerative meniscus injury | AMP (Acute Meniscal Pathology) | The purpose of this pilot study was to compare the effectiveness of conservative therapy involving medical exercise therapy (MET) versus arthroscopic surgery in patients with knee pain, with MRI-verified degenerative meniscus. The patients were randomly assigned either to MET (n = 9) or to arthroscopic surgery (n = 8).... |
0 | Dermoid cysts: a report of 75 pediatric patients | Reconstruction After Skin Cancer | Dermoid cysts (DCs) are benign cutaneous tumors that tend to persist and grow. The aim of this study was to examine the clinicopathologic features of congenital DCs. We present a case series of 75 children with a clinicopathologic diagnosis of DC. Seventy-two cysts were located on the head, one on the neck, and two on ... |
0 | Oophorectomy vs ovarian conservation with hysterectomy: cardiovascular disease, hip fracture, and cancer in the Women's Health Initiative Observational Study | Management of Hip Fractures in the Elderly | BACKGROUND: Elective bilateral salpingo-oophorectomy (BSO) is routinely performed with hysterectomy for benign conditions despite conflicting data on long-term outcomes. METHODS: This is a prospective cohort of 25 448 postmenopausal women aged 50 to 79 years enrolled in the Women's Health Initiative Observational Study... |
0 | Bone metastases from squamous cell carcinoma of the head and neck | MSTS 2022 - Metastatic Disease of the Humerus | BACKGROUND AND OBJECTIVES: Carcinoma of the head and neck is an uncommon primary source of bone metastases. The increasing duration of survival of these patients, however, increases the probability of late bone involvement. The objective was to identify the frequency, clinical presentation, and clinical course of metas... |
0 | Different classifications concerning fractures of the lateral humeral condyle in children | Pediatric Supracondylar Humerus Fracture 2020 Review | PURPOSE: Fractures of the lateral condyle are the second most frequent elbow fractures in children. Although the pathobiomechanism is well known and different fracture classifications exist, there are still adverse clinical results. This raises the questions how precise classifications predict fracture stability, espec... |
0 | Incidence and treatment patterns of complicated bone metastases in a population-based radiotherapy program | MSTS 2022 - Metastatic Disease of the Humerus | Introduction There is abundant evidence in support of single fraction (SF) radiation therapy (RT) for uncomplicated bone metastases (BoM). We sought to determine the proportion of BoM that is complicated in a population-based RT program in order to act as a potential guide for assessing SFRT utilization rates. Material... |
0 | Inequality in 30-day mortality and the wait for surgery after hip fracture: the impact of the regional health care evaluation program in Lazio (Italy) | Management of Hip Fractures in the Elderly | OBJECTIVE: INTERVENTIONS: that address inequalities in health care are a priority for public health research. We evaluated the impact of the Regional Health Care Evaluation Program in the Lazio region, which systematically calculates and publicly releases hospital performance data, on socioeconomic differences in the q... |
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