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0 | Free flap reconstruction for infection of ankle fracture hardware: Case report and review of the literature | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Background: Clinical management of orthopedic hardware infections related to ankle fracture fixation may present difficult therapeutic dilemmas. Typically, management includes removal of the hardware, debridement of necrotic tissue, and eventual placement of an alternative method of stabilization, usually, an external ... |
0 | Avoiding cumulative trauma disorders in shops and offices | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Cumulative trauma disorders have been medically described for about 100 yr and have been related to physical activities for nearly 300 yr. Yet, avoiding these disorders in the shop and office is becoming of urgent concern only now, particularly because of the Occupational Safety and Health Administration's (OSHA's) inv... |
0 | Endocrine and immune effects of dexamethasone in unilateral total knee replacement | AAHKS (8) Anesthetic Infiltration | The effect of acute pre-surgery dexamethasone treatment on the inflammatory immune and endocrine responses to orthopaedic surgery was investigated. Whole blood samples were obtained before and 5 days after surgery for immune analysis, and serum was obtained before and 6 h, 3 days and 5 days after surgery for endocrine ... |
0 | Comparison of daily, weekly, and monthly vitamin D3 in ethanol dosing protocols for two months in elderly hip fracture patients | Management of Hip Fractures in the Elderly | BACKGROUND: Different dosing protocols have been used for vitamin D supplementation, but there has been a lack of comparative data among them. OBJECTIVE: Our objective was to determine whether the same cumulative dose of vitamin D3 produces different effects if it is given daily, weekly, or monthly. DESIGN: Women, age ... |
0 | Clinical practice and nursing management of pre-operative skin or skeletal traction for hip fractures in elderly patients: a cross-sectional three-institution study | Hip Fx in the Elderly 2019 | BACKGROUND: Femoral fractures are a major healthcare problem worldwide. One of the most difficult issues is their preoperative care, which is still managed by either skeletal or skin traction in some countries, including Italy. These issues are discussed and compared with the contemporary literature.
OBJECTIVE: This st... |
0 | Consensus on emergency surgery and infection prevention and control for severe trauma patients with 2019 novel coronavirus pneumonia | Coronavirus Disease 2019 (COVID-19) | A novel coronavirus pneumonia (NCP) epidemic has occurred in Wuhan, Hubei Province since December 2019, caused by a novel coronavirus (2019-nCoV) never been seen previously in human. China has imposed the strictest quarantine and closed management measures in history to control the spreading of the disease. However, se... |
0 | Nevus anemicus: A distinctive cutaneous finding in neurofibromatosis type 1 | Developmental Dysplasia of the Hip 2020 Review | Nevus anemicus (NA) is a cutaneous anomaly characterized by pale, well-defined patches with limited vascularization after rubbing. They are largely known to be associated with neurofibromatosis 1 (NF1) and have received little attention in the literature until recently. We sought to characterize the prevalence and clin... |
0 | Outcome of hip resurfacing in obese patients | Management of Hip Fractures in the Elderly | The effect of obesity on outcome for patients undergoing hip resurfacing has been evaluated. Pre and post-operative objective patient scored outcomes for a group of 181 cases of hip resurfacing performed over a three year period were collected. Cases have been stratified by body mass index (BMI) with evaluation of post... |
0 | Low bone mineral density in hormone-naive men with prostate carcinoma | MSTS 2018 - Femur Mets and MM | BACKGROUND: The objective of this study was to determine the prevalence of low bone mineral density in men with prostate carcinoma and no history of androgen-deprivation therapy.
METHODS: The authors conducted a cross-sectional study in 41 hormone-naive men with locally advanced, lymph node positive, or recurrent prost... |
0 | Gene Expression Profiles of Peripheral Blood Monocytes in Osteoarthritis and Analysis of Differentially Expressed Genes | TO: WNT2 Pathway Modulator | Background: There is little understanding of the molecular processes involved in the pathogenesis of osteoarthritis, limiting early diagnosis and effective treatment of OA. Use of genechips can provide insights into the molecular pathogenesis of diseases. In this study, determination of gene expression profiles of oste... |
1 | The History of GalaFLEX P4HB Scaffold | Acellular Dermal Matrix | The GalaFLEX Scaffold (Galatea Surgical, Inc., Lexington, MA) for plastic and reconstructive surgery belongs to a new generation of products for soft tissue reinforcement made from poly-4-hydroxybutyrate (P4HB). Other members of this new family of products include MonoMax Suture (Aesculap AG, Tuttlingen, Germany) for s... |
0 | Advances in the treatment of intracapsular hip fractures in the elderly | Management of Hip Fractures in the Elderly | A review of recent advances in the treatment of intracapsular hip fractures in the elderly patient is offered to provide some guidelines on choosing the appropriate treatment for a given patient. Alternatives discussed include open reduction and internal fixation versus arthroplasty; unipolar versus bipolar hemiarthrop... |
1 | Feasibility and value of non-locking retrograde nail vs. locking retrograde nail in fixation of distal third femoral shaft fractures: radiographic, bone densitometry and clinical outcome assessments | Hip Fx in the Elderly 2019 | Aim Distal femoral shaft fractures are characterized by increasing incidence and complexity and are still considered a challenging problem. No consensus on best surgical option has been achieved. The aim of this study is to investigate mineral bone densitometry, radiographic and clinical outcomes of locking retrograde ... |
0 | Thirty-day mortality after total knee arthroplasty | Surgical Management of Osteoarthritis of the Knee CPG | BACKGROUND: There have been sporadic reports on perioperative mortality associated with total knee arthroplasty. The purpose of this study was to determine risk factors for such mortality. METHODS: A computer-assisted review of the records of 22,540 consecutive patients who had undergone total knee arthroplasty between... |
0 | Correlation between translational and rotational kinematic abnormalities and osteoarthritis-like damage in two in vivo sheep injury models | OAK 3 - Non-arthroplasty tx of OAK | The relations between kinematic abnormalities and post traumatic osteoarthritis have not yet been clearly elucidated. This study was conducted to determine the finite helical axes parameters and the tibiofemoral translation vector in the knee joints of two surgically induced injury sheep models: anterior cruciate ligam... |
0 | The history of liposuction | Panniculectomy & Abdominoplasty CPG | This article aims to familiarize the reader with the history of liposuction. The author documents the landmark events and characters in the development of this revolutionary and widely known procedure. Included is a historical discussion of the obstacles and the triumphs the practitioners and the procedure itself has s... |
0 | Intraarticular Application of Opioids versus Glucocorticoids versus Placebo in Gonarthritis | OAK 3 - Non-arthroplasty tx of OAK | INTERVENTION: Single injection of Morphine 3 mg or Dexamethasone 4 mg or Placebo during needle arthroscopy. Rearthroscopy after 7 days. CONDITION: Gonarthritis in inflammatory rheumatic disease ; Musculoskeletal Diseases ; Gonarthritis PRIMARY OUTCOME: Improvement of VAS pain of at least 20 mm on a 0â?100 scale. SECON... |
1 | Developmental dysplasia of the hip in twins: the importance of mechanical factors in the etiology of DDH | Developmental Dysplasia of the Hip CPG | BACKGROUND: Developmental dysplasia of the hip (DDH) is a disease of multifactorial etiology. Genetic and intrauterine mechanical factors influence the development of the hip joint and the incidence of DDH. Breech position is a risk factor for DDH. The aim of this study is to analyze whether in twins, the intrauterine ... |
1 | Preoperative methylprednisolone increases plasma Pentraxin 3 early after total knee arthroplasty: a randomized, double-blind, placebo-controlled trial | AAHKS (2) Corticosteroids | Preoperative glucocorticoid administration reduces the systemic inflammatory response. Pentraxin 3 (PTX3) is a novel inflammatory marker belonging to the humoral arm of innate immunity exerting a potentially protective host response. This study evaluated PTX3 and other complement marker changes after preoperative methy... |
0 | Cervical metastasis from squamous cell carcinoma of the maxillary alveolus and hard palate | Reconstruction After Skin Cancer | OBJECTIVES: Squamous cell carcinoma has a predilection for regional lymphatic metastasis. The occurrence of occult cervical metastases from squamous cell carcinoma of the hard palate and maxillary alveolar ridge has not been studied systematically. We have observed many patients who have returned after resection of a p... |
0 | Efficacy of a hip protector to prevent hip fracture in nursing home residents: the HIP PRO randomized controlled trial | Management of Hip Fractures in the Elderly | CONTEXT: Past studies of the efficacy of hip protectors to prevent hip fracture in nursing home residents have had conflicting results, possibly due to potential biases from clustered randomization designs and modest adherence to intervention. OBJECTIVE: To determine whether an energy-absorbing and energy-dispersing hi... |
0 | The effect of elective total hip replacement on health-related quality of life | Management of Hip Fractures in the Elderly | The effect of total hip replacement on the health-related quality of life of patients who have osteoarthrosis was examined as part of a randomized, controlled trial comparing femoral head prostheses that were inserted with or without cement. One hundred and eighty-eight patients were followed for three months: 179 of t... |
0 | Symposium: evidence for the use of intra-articular cortisone or hyaluronic acid injection in the hip | AAHKS (2) Corticosteroids | The primary purpose of this review article is to discuss the role of diagnostic, corticosteroid, hyaluronic acid (HA) and platelet rich plasma (PRP) in the treatment of osteoarthritis (OA) and femoroacetabular impingement (FIA). These treatments play an important biological role in the non-operative management of these... |
0 | Tadalafil reduces myeloid-derived suppressor cells and regulatory T cells and promotes tumor immunity in patients with head and neck squamous cell carcinoma | Reconstruction After Skin Cancer | EXPERIMENTAL DESIGN: First, we functionally and phenotypically characterized MDSCs in HNSCCs and determined, retrospectively, whether their presence at the tumor site correlates with recurrence. Then, we performed a prospective single-center, double-blinded, randomized, three-arm study in which patients with HNSCC unde... |
0 | The role of nutrition and physical activity in frailty: A review | OAK 3 - Non-arthroplasty tx of OAK | Frailty is a clinical syndrome with a worldwide prevalence of 5â??27% among those aged over 65 years. Frailty is characterised by loss of muscle strength and impaired physical function, and is associated with increased falls, hospitalisation and death. Nutritional deficiencies and low physical activity are common in th... |
0 | Management of advanced mandibular osteoradionecrosis with free flap reconstruction | DoD SSI (Surgical Site Infections) | BACKGROUND: The purpose of this study was to assess the effectiveness of free tissue transfer for treatment of advanced mandibular osteoradionecrosis (ORN) in head and neck cancer patients.
METHODS: We reviewed 29 patients who were treated for advanced mandibular ORN by radical resection and reconstruction with free fl... |
0 | Therapeutic Effects of the Addition of Platelet-Rich Plasma to Bioimplants and Early Rehabilitation Exercise on Articular Cartilage Repair | Osteochondritis Dissecans 2020 Review | BACKGROUND: Treating articular cartilage lesions is clinically challenging. However, whether the addition of autologous platelet-rich plasma (PRP) to bioimplants along with early rehabilitation exercise provides therapeutic effects and regenerates the osteochondral defect remains uninvestigated. HYPOTHESIS: The additio... |
1 | Approach and management of venomous snake bites: A guide for the primary care physician | DOD - Acute Comp Syndrome CPG | Approximately 10,000 snake bites occur each year in the United States. Although rarely fatal, 70% of envenomations require antivenom therapy. The rattlesnake, a member of the Crotalinae family, causes the most bites and fatalities each year. First aid techniques such as arterial tourniquet, mechanical venom removal, an... |
1 | An evaluation of the effectiveness of different techniques for intraoperative infiltration of antibiotics into alloplastic implants for use in facial reconstruction | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | BACKGROUND: Reconstruction in the head and neck can be difficult owing to the size of the defect or characteristics of the tissue that needs to be replaced. Facial wounds or reconstruction sites can be subject to contamination, thereby risking infection of any implanted material even under ideal circumstances. Particul... |
0 | Factors predictive of outcome 5 years after matrix-induced autologous chondrocyte implantation in the tibiofemoral joint | OAK 3 - Non-arthroplasty tx of OAK | Matrix-induced autologous chondrocyte implantation (MACI) has become an established technique for the repair of full-thickness chondral defects in the knee. However, little is known about what variables most contribute to postoperative clinical and graft outcomes as well as overall patient satisfaction with the surgery... |
0 | Double level osteotomy for genu varum: Is a return to sport possible? | AMP (Acute Meniscal Pathology) | Introduction: A double level osteotomy (DLO) may be indicated in patients with genu varum when the deformity involves both the tibia and femur. These patients, who are often young and active, have a high functional demand and hope for a rapid return to sport. The purpose of our study was to assess return to sport and f... |
0 | Long-term outcomes of surgery and radiotherapy for secreting and non-secreting pituitary adenoma | Upper Eyelid and Brow Surgery | PURPOSE: To investigate treatment outcome and long term complication after surgery and radiotherapy (RT) for pituitary adenoma. MATERIALS AND METHODS: From 1990 to 2009, 73 patients with surgery and RT for pituitary adenoma were analyzed in this study. Median age was 51 years (range, 25 to 71 years). Median tumor size ... |
0 | Single Ilioinguinal Approach to Treat Complex Acetabular Fractures with Quadrilateral Plate Involvement: Outcomes Using a Novel Dynamic Anterior Plate-Screw System | Hip Fx in the Elderly 2019 | OBJECTIVES: To evaluate the efficacy and safety of a novel fixation technique referred to as the dynamic anterior plate-screw system for quadrilateral plate (DAPSQ) for complex acetabular fractures with quadrilateral plate involvement through the single ilioinguinal approach.
METHODS: A total of 32 patients with acetab... |
0 | The value of adding sciatic block to continuous femoral block for analgesia after total knee replacement | AAHKS (8) Anesthetic Infiltration | BACKGROUND AND OBJECTIVES: The benefit of adding a sciatic nerve block to the femoral block to improve analgesia after total knee replacement is controversial. The aim of this study is to address this controversy in a prospective, comparative, and randomized study.
METHODS: Patients were allocated randomly to receive a... |
0 | Therapy of ankylosing spondylitis - A review. Part I: Conventional medical treatment and surgical therapy | AAHKS (2) Corticosteroids | The main outcome parameters in AS and other SpA are pain, disease activity, function, spinal mobility, and structural progression. There are several treatment options, which differ, depending on the localization and severity of the manifestation and the degree of structural changes already present. There is a basic rol... |
1 | Orthopaedic management in a mega mass casualty situation. The Israel Defence Forces Field Hospital in Haiti following the January 2010 earthquake | DoD LSA (Limb Salvage vs Amputation) | Following the January 2010 earthquake in Haiti, the Israel Defence Forces (IDF) established a field hospital in Port au Prince. The hospital started operating 89 h after the earthquake. We describe the experience of the orthopaedic department in a field hospital operating in an extreme mass casualty situation. The hosp... |
0 | The Cerebrospinal Fluid Distribution of Postoperatively Administred Dexketoprofen and Etoricoxib and Their Effect on Pain and Inflammatory Markers in Patients Undergoing Hip Arthroplasty | AAHKS (4) Acetaminophen | BACKGROUND AND OBJECTIVE: Based on earlier literature, etoricoxib may have a delayed analgesic effect in postoperative setting when analgesic efficacy of nonselective nonsteroidal anti-inflammatory drug dexketoprofen is rapid. This may be caused by slow penetration of etoricoxib into the central nervous system (CNS). T... |
0 | Positive Leukocyte and Negative Bone Scintigraphy in Extensive Arthroplasty Infection | Management of Hip Fractures in the Elderly | An 85-year-old male resident of a nursing home presented after a fall with a painful left hip, confusion, and fever. He had multiple medical problems including severe vascular disease and poor vision as a result of macular degeneration. An Austin Moore left hip prosthesis had been inserted for a fractured femoral neck ... |
0 | Bone Metastases in Follicular Carcinoma of Thyroid | MSTS 2022 - Metastatic Disease of the Humerus | Though the association between follicular carcinoma and bone metastasis is well established, the site-wise distribution is not known. One hundred seventy-three patients of follicular carcinoma presenting between 2003 and 2011 were selected from 1093 patients of follicular lesions presenting at a single institution. Of ... |
0 | Intramedullary nailing versus locked plate for treating supracondylar periprosthetic femur fractures | PJI DX Updated Search | The objective of this study was to compare retrograde intramedullary femoral nailing with supracondylar locked screw-plate fixation for the treatment of periprosthetic femur fractures following total knee arthroplasty. Time to union and full weight bearing were the primary study outcomes, with perioperative blood loss,... |
0 | Knee problems in children | AMP (Acute Meniscal Pathology) | The paper describes physical examination of the knee and some of the knowledge functional anatomy necessary for diagnosis and management of knee disorders that occur in children. It includes brief descriptions of the diagnostic features of these conditions, as well as principles of conservative and surgical management. |
0 | Medial pretarsal adipose tissue in the asian upper eyelid | Upper Eyelid and Brow Surgery | PURPOSE: To report the presence of a localized pad of adipose tissue in the medial anterior tarsal surface of the Asian upper eyelid. METHODS: Clinicohistologic case series. The presence and extent of a localized pad of adipose tissue in the medial pretarsal area were documented: 1) intraoperatively for 51 consecutive ... |
0 | Polymorphisms in ADAMTS4 and ADAMTS5 are not linked to susceptibility to knee osteoarthritis in the Turkish population | OAK 3 - Non-arthroplasty tx of OAK | Considering the functions of aggrecanase-1 (ADAMTS4) and-2 (ADAMTS5), which are thought to be the two major enzymes responsible for the destruction of aggrecans in arthritic diseases, we investigated whether important polymorphisms in the ADAMTS4 and ADAMTS5 genes affect osteoarthritis (OA) susceptibility. Our study to... |
0 | Early experience with the Lejour vertical scar reduction mammaplasty technique | Reduction Mammoplasty for Female Breast Hypertrophy | Over a 19-month period 25 bilateral reduction mammaplasties were performed using the Lejour technique. Results were assessed retrospectively. The mean follow-up was 12 months. The study showed that minor complications were common (40%), that nipple-areolar sensation was frequently reduced and that minor revision surger... |
0 | Does hip implant positioning affect the peak external adduction moments of the healthy knees of subjects with total hip replacements? | Surgical Management of Osteoarthritis of the Knee CPG | After unilateral total hip replacement (THR) for hip osteoarthritis (OA), knee OA incidence or progression is common. The contralateral knee is at particular risk, and some have speculated that abnormal THR-hip biomechanics contributes to this asymmetry. We investigated the relationships between operated-hip joint geom... |
0 | Comparison of Acetaminophen and PRP Therapy for Knee OA | OAK 3 - Non-arthroplasty tx of OAK | This is a randomized controled study. Patients enroled in the study will be divided into two groups (calculated n=30 per group). One group will be treated with acetaminophen (500 mg/8 h) for 6 weeks, the experimental group will receive a total of 3 intraâ?articular injections of PRP, one injection every 2 weeks. The i... |
1 | Machine learning model identifies preoperative opioid use, male sex, and elevated BMI as predictive factors for of prolonged opioid consumption following arthroscopic meniscal surgery | AMP (Acute Meniscal Pathology) | PURPOSE: To develop a predictive machine learning model to identify prognostic factors for continued opioid prescriptions after arthroscopic meniscus surgery.
METHODS: Patients undergoing arthroscopic meniscal surgery, such as meniscus debridement, repair, or revision at a single institution from 2013 to 2017 were retr... |
0 | Distal locked and unlocked nailing for perthrochanteric fractures—a prospective comparative randomized study | DoD SSI (Surgical Site Infections) | Purpose: Intramedullary nailing is widely used in the treatment of stable pertrochanteric fractures. However, it remains controversial whether the distal locking with intramedullary nailing is necessary. Method: In this study, 70 patients over the age of 65 with pertrochanteric fractures (AO/OTA 31-A1 and A2) were enro... |
0 | Technique and considerations when using external fixation as a standard treatment of femoral fractures in children | DoD SSI (Surgical Site Infections) | Femoral fractures in children can be treated effectively and with a low complication rate by using external fixation. However, as with most treatment modalities there is a learning curve to be considered. The aim of this paper is to report "tricks" and different considerations that we have learned to be of value based ... |
0 | Patient-related factors influence stiffness of the soft tissue complex during intraoperative gap balancing in cruciate-retaining total knee arthroplasty | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE: How much force is needed to pre-tension the ligaments during total knee arthroplasty? The goal of this study was to determine this force for extension and flexion, and for both compartments, and to identify predicting patient-related factors. METHODS: Eighty patients [55 females, mean age 71 (SD 9.7)] were rec... |
0 | Ilizarov treatment of tibial nonunions results in 16 cases | DoD LSA (Limb Salvage vs Amputation) | Treatment with the Ilizarov technique was performed in 16 patients with complex tibial nonunions. Two years post treatment the functional stage and patient satisfaction were recorded. There were 4 hypertrophic, 3 atrophic and 9 infected nonunions. Eleven patients had segmental bone loss. Fifteen nonunions united, and l... |
0 | Wound/intra-articular infiltration or peripheral nerve blocks for orthopedic joint surgery: Efficacy and safety issues | AAHKS (9/10) Regional Nerve Blocks | PURPOSE OF REVIEW: Pain following arthroplasty is managed utilizing continuous peripheral nerve blocks (PNB) or local infiltration analgesia (LIA). The current economic climate in many countries requires discharge from the hospital within a couple of days following arthroplasty. Earlier studies had documented the effic... |
0 | Abdominal compartment syndrome: a rare complication of plication of the diaphragm | DOD - Acute Comp Syndrome CPG | Abdominal compartment syndrome is an increasingly recognized phenomenon. We report the case of an otherwise fit and healthy 42-year-old man who underwent plication of the right hemidiaphragm for idiopathic phrenic paresis. His postoperative recovery was complicated by abdominal compartment syndrome, which was managed c... |
0 | Identifying elderly patients for early discharge after hospitalization for hip fracture | DoD PRF (Psychosocial RF) | Conducted a retrospective chart review of 216 patients (aged 55+ yrs) discharged alive from a hospital after hip fracture. Demographic, medical, and functional data available within 48 hrs of admission were used to develop an algorithm to identify patients eligible for early discharge. A prospective study of an additio... |
0 | Prevention of infective endocarditis: revised guidelines from the American Heart Association and the implications for dentists | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Infective endocarditis is a rare but life-threatening microbial infection of the heart valves or endocardium, most often related to congenital or acquired cardiac defects. The American Heart Association (AHA) recently updated its recommendations on prophylaxis during dental procedures. The revisions will have a profoun... |
1 | No rest for the wounded: early ambulation after hip surgery accelerates recovery | Management of Hip Fractures in the Elderly | Copyright release f or this abstract has not been granted |
1 | Late presentation of fractures of the lateral condyle of the humerus in children | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | BACKGROUND: The current controversy regarding the management of fractures of the lateral condyle of the humerus presenting between 3 to 12 weeks prompted us to evaluate our results of open reduction and internal fixation of such fractures. PATIENTS AND METHODS: Twenty-one patients operated between March 1995 and Februa... |
0 | Current Concepts and Future Directions of Minimally Invasive Treatment for Knee Pain | OAK 3 - Non-arthroplasty tx of OAK | PURPOSE OF REVIEW: The purpose of this paper is to review the percutaneous interventions available for the treatment of osteoarthrosis of the knee that address pain and prolong the time to arthroplasty.
RECENT FINDINGS: Corticosteroid injection and viscosupplementation have been the most studied, but there is still no ... |
0 | VTD consolidation, without bisphosphonates, reduces bone resorption and is associated with a very low incidence of skeletal-related events in myeloma patients post ASCT | MSTS 2022 - Metastatic Disease of the Humerus | We prospectively evaluated the effect of bortezomib, thalidomide and dexamethasone (VTD) consolidation on bone metabolism of 42 myeloma patients who underwent an autologous stem cell transplantation (ASCT). VTD started on day 100 post ASCT; patients received four cycles of VTD (first block), were followed without treat... |
0 | Complications of liposuction | Panniculectomy & Abdominoplasty CPG | This article discusses the complications of liposuction and is divided into two parts. The first part discusses surgical and systemic complications. Since liposuction is surgery, it has the same complications as any surgery, but because of the minimalization of the procedure done by the author since he invented it in 1... |
1 | A short follow-up of prosthesis-based breast reconstruction using TiLOOP(®) Bra surgical mesh | Acellular Dermal Matrix | BACKGROUND: A new approach for prosthesis-based breast reconstruction is the use of a titanium-coated polypropylene mesh TiLOOP(®) Bra. However, the safety and outcomes are currently unclear in Chinese breast cancer patients. METHODS: A retrospective study of patients undergoing prosthesis-based breast reconstruction u... |
0 | Toxic epidermal necrolysis due to administration of celecoxib (Celebrex) | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | A 41-year-old woman was given celecoxib (Celebrex) for the treatment of carpal tunnel syndrome. An erythematous rash developed that progressed to exfoliative dermatitis, and the patient was diagnosed with toxic epidermal necrolysis. After transfer to the burn unit, she was treated with topical mupirocin calcium cream a... |
1 | Extended femoral nerve sheath block after total hip arthroplasty: continuous versus patient-controlled techniques | AAHKS (9/10) Regional Nerve Blocks | We assessed the efficacy of patient-controlled analgesia (PCA) techniques for extended femoral nerve sheath block after total hip arthroplasty. Forty-five patients were divided into three groups of 15. Over 48 h, all patients received 0.125% bupivacaine with clonidine 1 microg/mL and sufentanil 0.1 microg/mL via a femo... |
0 | Clinical comparison of patients with ankylosing spondylitis, Reiter's syndrome and psoriatic arthritis | Management of Hip Fractures in the Elderly | Between 1976 and 1989, 160 cases of seronegative spondyloarthropathy (SNSA) were admitted to the Department of Medicine at Chulalongkorn Hospital. The prevalence of idiopathic ankylosing spondylitis (IdAS) was 52 cases (32.5%), Reiter's syndrome (RS) 68 cases (42.5%), psoriatic arthritis (PsA) 28 cases (17.5%), reactiv... |
0 | High revision rate of hydroxyapatite-coated ABG-I prosthesis | PJI DX Updated Search | BACKGROUND: The aim of this study was to investigate the causes of the high revision rate of the hydroxyapatite-coated Anatomique Benoist Girard (ABG-I) prosthesis. METHODS: We performed 204 total hip arthroplasties (THAs) at our hospital between March 1992 and December 1996. Of the 204 THA patients, 129 were followed ... |
0 | Assessment of motor neuropathy with nerve conduction study in hypothyroidism | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: Hypothyroidism is a clinical condition associated with low levels of thyroid hormones with normal or raised level of thyroid stimulating hormone. It may lead to peripheral neuropathy which usually develops insidiously over a long period of time due to irregular intake or lack of thyroid replacement therapy. ... |
1 | Classification systems for distal radius fractures | Distal Radius Fractures | Background and purpose - The reliability of conventional radiography when classifying distal radius fractures (DRF) is fair to moderate. We investigated whether reliability increases when additional computed tomography scans (CT) are used. |
0 | Common ultramarathon injuries and illnesses: Race day management | AMP (Acute Meniscal Pathology) | Participation in ultramarathons has become increasingly popular especially among nonelite athletes. Ultramarathons have a wide spectrum of race characteristics from the variety of distances to environmental factors. Ultramarathons continue to attract a relatively small number of participants who on average are more exp... |
0 | Growth Hormone Perturbations in Fibromyalgia: A Review | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Objective: Fibromyalgia (FM) is a syndrome characterized by chronic widespread pain, fatigue, disrupted sleep, depression, and physical deconditioning. In this article, we review the literature on the normal activity of the hypothalamic-pituitary-growth hormone-insulin-like growth factor-1 (HP-GH-IGF-1) axis and its pe... |
0 | Allograft maturation in anterior cruciate ligament reconstruction | Surgical Management of Osteoarthritis of the Knee CPG | This case report describes the histologic incorporation of a freeze-dried Achilles tendon allograft used for arthroscopic anterior cruciate ligament (ACL) reconstruction. The patient had regained stability from the procedure but had worsening pain over the medial compartment. The patient underwent total knee arthroplas... |
0 | Institutional review of free TRAM flap breast reconstruction | Reduction Mammoplasty for Female Breast Hypertrophy | INTRODUCTION: A 10-year experience with breast reconstruction in a university hospital was recently reviewed. The purpose of this study was to determine the subtypes of breast reconstructive procedures and to evaluate the frequency and change in technique over time of free TRAM (transverse rectus abdominis muscle) flap... |
0 | Diphtheroid infection of a total knee arthroplasty following femoral percutaneous transluminal coronary angioplasty | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | A 61-year-old male had a successful left total knee arthroplasty but one year later developed a deep diphtheroides infection of the joint following femoral percutaneous transluminal coronary angioplasty without antimicrobial prophylaxis. Diphtheroides is an uncommon organism to infect a joint replacement and it has not... |
1 | Long-term pain, stiffness, and functional disability after total knee arthroplasty with and without an extended ambulatory continuous femoral nerve block: a prospective, 1-year follow-up of a multicenter, randomized, triple-masked, placebo-controlled trial | AAHKS (9/10) Regional Nerve Blocks | BACKGROUND: Previously, we have demonstrated that extending a continuous femoral nerve block (cFNB) from overnight to 4 days after total knee arthroplasty (TKA) provides clear benefits during the infusion, but not subsequent to catheter removal. However, there were major limitations in generalizing the results of that ... |
0 | Outcomes of posterior wall fractures of the acetabulum | DoD PRF (Psychosocial RF) | BACKGROUND: The Musculoskeletal Function Assessment (MFA) is a validated, reliable, self-administered questionnaire that is useful for determining functional status. The Merle d'Aubigne score is a clinical measure of hip function. The purpose of the present study was to evaluate the outcome information provided by thes... |
0 | Looking beyond the indication: Bone scan for trauma providing unsuspected initial diagnosis of acute critical lower limb arterial compromise | DoD LSA (Limb Salvage vs Amputation) | We report a case of rare incidental initial detection of unsuspected arterial supply compromise to the right lower extremity on a bone scan done to rule out fracture in a patient with right hip pain following a fall. Follow up CT angiogram confirmed near complete occlusion of right lower extremity arteries for which pa... |
0 | Septum-based mammaplasty: A surgical technique based on würinger's septum for breast reduction | Reduction Mammoplasty for Female Breast Hypertrophy | BACKGROUND: During the past 7 years, the senior author (M.H.) has been performing septum-based mammaplasty. The aim of this article is to report the safety and ease of breast shaping by using this technique. METHODS: A series of 110 consecutive patients underwent septum-based breast reduction performed by a single surg... |
0 | More than half of hip fracture patients do not regain mobility in the first postoperative year | DoD PRF (Psychosocial RF) | Aim: To measure functional recovery and determine risk factors for failure to return to the prefracture level of mobility of hip fracture patients 1 year postoperatively. Methods: A prospective cohort follow-up study of 390 hip fracture patients aged 65 years and older was carried out. Patients were stratified in categ... |
0 | Does pisiform subluxation affect the postoperative outcomes in a cohort of patients with distal radius fractures? | Distal Radius Fractures | Background: In this study, we retrospectively surveyed the presence or absence of pisiform subluxation in surgically treated distal radius fractures (DRF) cases. In addition, we investigated whether or not the postoperative short-term treatment outcome differs due to the presence of pisiform subluxation.
Materials and ... |
0 | Determinants of pain expression in hospitalized burn patients | DoD PRF (Psychosocial RF) | This study examines the relationship between extent of injury, degree and type of psychological distress and self-report of pain in burn survivors. One hundred eighty burn patients were interviewed within 2 weeks of their burn trauma. Using a visual analogue scale to assess subjective pain and pain relief, and self-rep... |
0 | Multimodal primary treatment of metastatic prostate cancer with androgen deprivation and radiation | MSTS 2018 - Femur Mets and MM | Aim: We combined anti-androgen therapy with radiotherapy in a first-line setting for metastatic prostate cancer aiming to cause maximal cancer-cell death to delay the emergence of castration-resistant disease. Materials and Methods: In this non-randomized retrospective series of 46 patients, the initial median prostate... |
0 | Complications and short-term patient outcomes of periacetabular osteotomy for symptomatic mild hip dysplasia | Developmental Dysplasia of the Hip 2020 Review | INTRODUCTION: The purpose of our study is to identify complications and early functional outcome scores in patients treated with periacetabular osteotomy (PAO) for mild acetabular dysplasia. METHODS: The study population consisted of patients from a single centre prospective hip registry undergoing PAO with mild acetab... |
1 | Coping self-efficacy mediates the effects of negative cognitions on posttraumatic distress | DoD PRF (Psychosocial RF) | Although cognitive distortions have predicted posttraumatic distress after various types of traumatic events, the mechanisms through which cognitive distortions influence posttraumatic distress remain unclear. We hypothesized that coping self-efficacy, the belief in one's own ability to manage posttraumatic recovery de... |
0 | Early Outcomes of Primary Total Hip Arthroplasty for Osteonecrosis of the Femoral Head in Patients with Human Immunodeficiency Virus in China | PJI DX Updated Search | BACKGROUND: Studies have reported that patients with human immunodeficiency virus (HIV) have a high incidence of osteonecrosis of the femoral head (ONFH). Total hip arthroplasty (THA) is an effective management of ONFH. However, little data exist regarding the use of THA for the HIV patients with ONFH in China. This st... |
1 | The impact of acute compartment syndrome on the outcome of tibia plateau fracture | DOD - Acute Comp Syndrome CPG | BACKGROUND: Acute compartment syndrome (ACS) is often associated with tibial plateau fractures and is a limb-threatening injury. Staged management through fasciotomy with delayed definitive fixation can prevent muscle necrosis and increase limb salvage rates. This procedure opens a large area for potential contaminatio... |
1 | Antibiotic prophylaxis in oral health care: administration strategies of general dental practitioners | Dental Implant Infection | OBJECTIVE: To examine the strategies that general dental practitioners (GDPs) use to administer antibiotic prophylaxis and to study the agreement between the administration strategies of GDPs and local recommendations., METHODS: Postal questionnaires in combination with telephone interviews were used. Two hundred GDPs ... |
1 | Supracondylar fracture of the humerus in children: review of closed and open reduction leading to a proposal for treatment | The Treatment of Pediatric Supracondylar Humerus Fractures AUC | Of 70 supracondylar fractures of the humerus in children, 25 were treated by open reduction and internal fixation, 24 by closed manipulation and plaster and 21 by plaster-of-Paris only. Three of the fractures were operated on because of suspected vascular injury (with or without neurological symptoms), another seven be... |
0 | The rational use of antibiotics in general practice | Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures | Many antibiotics produce serious adverse effects which, though uncommon, may be lethal or carry a high morbidity. This article provides a rational basis for the choice of antibiotics in common infections involving various anatomical sites. Short notes on the more useful antibacterial agents, dosage, major side effects ... |
0 | Characteristics of physicians who frequently prescribe long-acting benzodiazepines for the elderly | Management of Hip Fractures in the Elderly | Long-acting benzodiazepines (LABZs) are relatively contraindicated for elderly patients because they increase the risk of impaired cognitive function, falls, and hip fractures. The purpose of this study was to identify the characteristics of physicians who frequently prescribe LABZs for elderly patients. The authors ex... |
1 | Avoidance of soccer injuries with preseason conditioning | Anterior Cruciate Ligament Injuries CPG | The effect of a preseason conditioning program was studied to evaluate its influence on the occurrence and severity of soccer injuries. Three hundred female soccer players (ages 14 to 18 years) were studied over a 1-year period. Forty-two of these players participated in a 7-week training program before the start of th... |
0 | Emerging patterns in wrist osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | The human wrist is a composite joint which incorporates multiple smaller joints. The biomechanics of the wrist are dependent on its bony structure but also on the ligamentous constitution of its joints. This increases the complexity of the joint and reduces our ability to understand its anatomy, mechanics and pathology... |
0 | Predictive value of 99mTc-sestamibi scintigraphy for healing of extremity amputation | DoD LSA (Limb Salvage vs Amputation) | Purpose: Although various non-invasive procedures have been proposed to determine the optimal level of amputation of limbs in patients who have vascular disease, currently there are no consistent criteria that can be applied before surgery. The purpose of this study was to determine whether 99mTc- sestamibi imaging can... |
0 | Relationship of the 1 alpha, 25-dihydroxyvitamin D3 receptor concentration and the DNA content in renal cell carcinomas | MSTS 2018 - Femur Mets and MM | A role has been suggested for 1 alpha,25-dihydroxyvitamin D3 (1,25-(OH)2D3) in cell proliferation and differentiation. Therefore the concentration of the 1,25-(OH)2D3 receptors and DNA-ploidy was measured in 22 renal cell carcinomas. No relation was found, the mean 1,25-(OH)2D3 receptor concentration being 8.4 fmol/mg ... |
0 | Transesophageal echocardiography | AAHKS (8) Anesthetic Infiltration | To describe the role of transesophageal echocardiography (TEE) in the diagnosis of various cardiac pathologic conditions, we reviewed the currently accepted clinical applications, the contraindications to the procedure, and the potential complications. The Mayo Clinic experience with 7,134 TEE examinations during a 6-y... |
0 | [Treatment of the femoral, tibia and humeral shaft fractures in children with the use of intramedullary nailing or external fixation, a long term study] | Treatment of Pediatric Diphyseal Femur Fractures CPG | The treatment of long bones shaft fractures with intramedullary nailing and external fixation is gaining popularity nowadays. The aim of this study was to analyze operative methods of treatment of the long bones shafts fractures in children. We compared outcomes of surgical treatment with the use of external fixation a... |
1 | A 3-year follow-up study of psychosocial functioning and general symptoms in settled refugees | DoD PRF (Psychosocial RF) | OBJECTIVE: Few community studies have addressed the longitudinal course of post-traumatic stress disorder (PTSD) in traumatized refugees in early resettlement. This longitudinal study investigated changes from the first (T1) to the second interview (T2), 3 years later. The relationship between traumatic exposures and p... |
0 | Work-Related Carpal Tunnel Syndrome: The Facts and the Myths | Diagnosis and Treatment of Carpal Tunnel Syndrome CPG | Carpal tunnel syndrome is a medical disease, not an injury, although symptoms may occur in association with certain physical activities of the upper extremity. The concept of work-related carpal tunnel syndrome has grown to such proportion as to be problematic for society, having spawned health care industries to suppo... |
1 | The association between dietary magnesium intake and magnetic resonance parameters for knee osteoarthritis | OAK 3 - Non-arthroplasty tx of OAK | The aim of the study was to evaluate the relationship between dietary magnesium (Mg) intake and prevalence of knee osteoarthritis (OA), a topic poorly explored in the literature. Overall, 783 people participating in the Osteoarthritis Initiative (59.8% females; mean age: 62.3 years) and having an MRI assessment were en... |
1 | Injuries and Traumatic Psychological Exposures Associated with the South Napa Earthquake - California, 2014 | DoD PRF (Psychosocial RF) | On August 24, 2014, at 3:20 a.m., a magnitude 6.0 earthquake struck California, with its epicenter in Napa County (1). The earthquake was the largest to affect the San Francisco Bay area in 25 years and caused significant damage in Napa and Solano counties, including widespread power outages, five residential fires, an... |
0 | Fatigue in patients with hereditary neuropathy with liability to pressure palsies | Pediatric Supracondylar Humerus Fracture 2020 Review | OBJECTIVE: Hereditary Neuropathy with Liability to Pressure Palsies (HNPP) is caused by a heterozygous deletion of peripheral myelin protein-22 (PMP22) gene resulting in focal sensorimotor deficits. Our lab has identified a disruption of myelin junctions in excessively permeable myelin that impairs action potential pro... |
1 | Breast reduction with short L scar | Reduction Mammoplasty for Female Breast Hypertrophy | I didactically compared the breast as a glandular cone with an envelope of skin and subcutaneous tissue. The aesthetic alterations of the breast are classified in four groups related to form, to volume, to grams, and to ptosis in centimeters. An imaginary plane that passes by the mammary sulcus (plane A) will determine... |
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